COVID-19 Update: Key Statistics - August 11, 2020 - SOA.org
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2 COVID-19 Update: Key Statistics August 11, 2020 AUTHOR Lisa A. Schilling, FSA, EA, FCA, MAAA REVIEWERS R. Dale Hall, FSA, MAAA, CERA, CFA J. Patrick Wiese, ASA Caveat and Disclaimer This study is published by the Society of Actuaries (SOA) and contains information from a variety of sources. The study is for informational purposes only and should not be construed as professional or financial advice. The SOA does not recommend or endorse any use of the information provided in this study. The SOA makes no warranty, express or implied, or representation whatsoever and assumes no liability in connection with the use or misuse of this study. Copyright © 2020 by the Society of Actuaries. All rights reserved. Copyright © 2020 Society of Actuaries
3 Contents Introduction.............................................................................................................................................................. 4 Reported Cases ......................................................................................................................................................... 4 Worldwide Cases............................................................................................................................................................ 4 U.S. Cases ....................................................................................................................................................................... 7 Canadian Cases ............................................................................................................................................................ 10 Reported Deaths ..................................................................................................................................................... 11 Worldwide Deaths ....................................................................................................................................................... 11 U.S. Deaths ................................................................................................................................................................... 14 Canadian Deaths .......................................................................................................................................................... 16 Cases Per Million Compared to Deaths Per Million.................................................................................................. 18 Worldwide Cases Per Million Compared to Deaths Per Million ................................................................................ 18 U.S. Cases Per Million Compared to Deaths Per Million ............................................................................................ 20 Canadian Cases Per Million Compared to Deaths Per Million ................................................................................... 21 About The Society of Actuaries ............................................................................................................................... 22 Copyright © 2020 Society of Actuaries
4 COVID-19 Update: Key Statistics August 11, 2020 Introduction The COVID-19 pandemic that began in December 2019 continues. Some parts of the world that experienced significant numbers of cases in the winter and spring have brought SARS-CoV-2, the coronavirus that causes COVID- 19, under control. Other parts of the world have begun to experience the pandemic only more recently. Elsewhere, the coronavirus continues to spread at a significant pace, such as in the U.S., where cases appeared in February and significant numbers of cases were first recorded in March. The Society of Actuaries (SOA) published its first COVID-19 research brief on March 10, 2020, followed by regular updates and expansions through June 12, 2020. The comprehensive report includes a section of Key Statistics. On July 24, 2020, the SOA released a report showing updates through July 22 to selected graphs from or related to the Key Statistics section of the comprehensive report. This report provides similar updates through August 9, 2020. Reported Cases Confirmed cases are a function of the ability for any public health agency across countries to distribute, administer and collect test results from their respective health systems. It is important to recognize that the number of reported confirmed cases for any disease is typically fewer than the number of actual cases because of delays in full testing and reporting, as well as cases that have gone undiagnosed. WORLDWIDE CASES After a brief plateau from mid-April to mid-May, new reported confirmed COVID-19 cases rose steeply until the start of August. For the first nine days of August, daily new reported confirmed cases appear to have leveled off (Figure 1). Through August 9, 2020, 19.8 million cases had been reported worldwide. Since the start of the pandemic, the continental location of cases has shifted (Figure 2). Through most of February, daily new reported cases were largely contained in Asia. By mid-March, more daily new reported cases were from Europe than any other continent. By late March, Europe and North America shared roughly 85% of the daily new reported cases, relatively few new reported cases came from Asia, and a relatively small number of new cases began to be reported from Africa and South and Central Americas. At the end of June, about 60% of daily new reported COVID-19 cases were coming from North, South and Central Americas. New cases in Asia had risen to approximately 20% of the world’s daily reported new cases, and roughly 5% of the daily reported new cases were attributable to Africa. Through August 9, 2020, the U.S. had reported 25% of total cumulative worldwide cases, and Brazil had reported 15% of them (Figure 3). Of the 15 countries with the greatest number of cases, 13 of them have reported more than half of their cases since the start of June, and 8 of the top 15 have reported 70% or more of their cases since the start of June. Copyright © 2020 Society of Actuaries
5 Figure 1 WORLDWIDE REPORTED CONFIRMED DAILY NEW COVID-19 CASES BY CONTINENT, AUGUST 9, 2020 300,000 250,000 Oceania Africa 200,000 South America 150,000 North & Central 7-Day Moving Average America Europe 100,000 Asia 50,000 0 Mar-01 Mar-15 May-01 May-15 Jul-01 Jul-15 Apr-01 Apr-15 Jun-01 Jun-15 Aug-01 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Figure 2 PERCENTAGE OF WORLDWIDE DAILY REPORTED NEW COVID-19 DEATHS BY CONTINENT, AUGUST 9, 2020 100% Oceania 90% 80% Africa 70% 60% South America 50% North & Central 40% America 30% Europe 20% 10% Asia 0% Mar-01 Mar-15 May-01 May-15 Jul-01 Jul-15 Apr-01 Apr-15 Jun-01 Jun-15 Aug-01 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
6 Figure 3 TOP 15 COUNTRIES FOR NUMBER OF REPORTED CONFIRMED COVID-19 CASES, AUGUST 9. 2020 Number of Confirmed COVID-19 Cases Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug % of World U.S. 25.4% Brazil 15.3% India 11.2% Russia 4.5% South Africa 2.8% Mexico 2.4% Peru 2.4% Colombia 2.0% Chile 1.9% Iran 1.6% Spain 1.6% U.K. 1.6% Saudi Arabia 1.5% Pakistan 1.4% Bangladesh 1.3% 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 Millions Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Because population sizes differ across countries, considering the number of cases per million may be more insightful than examining the number of cases (Figure 4). Although Canada is not among the 15 countries with the greatest number of cases per million, Canada appears in the graph as a point of reference. While the U.S. ranks first in the number of cases, it ranks seventh in the number of cases per million, up from eighth place on July 22, 2020. Qatar continues to rank first in number of cases per million of population, far outpacing second place Bahrain and third place Chile. Figure 4 TOP 15 COUNTRIES FOR NUMBER OF REPORTED CONFIRMED COVID-19 CASES PER MILLION, AUGUST 9, 2020 Number of Confirmed COVID-19 Cases per Million Reported During Period Ending... 30-Apr 31-May 30-Jun 31-Jul 9-Aug Total CPM Qatar 39,086 Bahrain 24,971 Chile 18,767 Panama 15,367 Kuwait 15,915 Oman 15,911 U.S. 13,848 Peru 12,534 Brazil 12,615 Armenia 13,034 Israel 8,330 South Africa 8,422 Singapore 8,994 Saudi Arabia 8,051 Sweden 8,013 Canada 3,161 0 10 20 30 40 50 Thousands Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
7 U.S. CASES In the U.S., new reported confirmed COVID-19 cases initially peaked in early April 2020 and slowly declined before increasing again in later April (Figure 5); states are identified with corresponding colors by region in Figure 6. New cases generally declined slowly from late April until June 11, when they began an incline through mid July that was nearly as steep as the initial increase in new cases from mid-March through early April. Since late July, the daily number of new reported COVID-19 cases has generally declined but remains far above the peak levels in the spring. As of August 9, 2020, the U.S. has reported a total of 5.04 million cases; the 7-day rolling average of daily new cases is 53,813, which is 70% greater than its April 10 level of 31,628, which was the greatest level prior to June 24. Figure 5 U.S. DAILY REPORTED CONFIRMED NEW COVID-19 CASES BY REGION, AUGUST 9, 2020 90,000 80,000 70,000 Mountain 60,000 West Southeast 50,000 7-Day Moving Southwest 40,000 Average Midwest 30,000 20,000 Northeast 10,000 Pacific 0 Mar-15 Mar-22 Mar-29 May-03 May-10 May-17 May-24 May-31 Jul-05 Jul-12 Jul-19 Jul-26 Apr-05 Apr-12 Apr-19 Apr-26 Jun-07 Jun-14 Jun-21 Jun-28 Aug-02 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. The regional location of new Figure 6 reported confirmed COVID-19 U.S. REGIONS cases has clearly shifted since March 1, as is especially apparent in Figure 7. At the start of March, Northeast daily new reported confirmed cases were reported primarily Pacific Mountain from Pacific states. By March 19, West Midwest the Northeast dominated daily new reported confirmed cases of COVID-19. Since mid June, roughly 60% of daily new cases have been Southwest Southeast attributable to Southeastern and Southwestern state; since mid- July, about 30% of daily new cases have been reported from Pacific and Midwestern states. Copyright © 2020 Society of Actuaries
8 Figure 7 PROPORTION OF U.S. DAILY REPORTED CONFIRMED NEW COVID-19 CASES BY REGION, AUGUST 9, 2020 100% 90% 80% Mountain West 70% Southeast 60% Southwest 50% Midwest 40% 30% Northeast 20% Pacific 10% 0% Mar-15 Mar-22 Mar-29 May-03 May-10 May-17 May-24 May-31 Jul-05 Jul-12 Jul-19 Jul-26 Apr-05 Apr-12 Apr-19 Apr-26 Jun-07 Jun-14 Jun-21 Jun-28 Aug-02 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Through the spring, New York reported confirmed COVID-19 cases than any other state. Now California, Florida and Texas all report more cases than New York (Figure 8), and these three states have also reported the greatest increase in number of cases (Figure 9) since June 1. However, since mid-July, Louisiana, Arizona, Florida and Mississippi have reported more cases per million than New Jersey (Figure 10), which had previously led the nation in number of cases relative to state population. Figure 8 TOP 15 STATES FOR NUMBER OF REPORTED CONFIRMED COVID-19 CASES, AUGUST 9, 2020 Number of Confirmed COVID-19 Cases Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug % of U.S. California 11.1% Florida 10.6% Texas 10.0% New York 8.3% Georgia 4.3% Illinois 3.9% Arizona 3.7% New Jersey 3.7% North Carolina 2.7% Louisiana 2.6% Pennsylvania 2.4% Tennessee 2.4% Massachusetts 2.4% Alabama 2.0% Ohio 2.0% 0 100 200 300 400 500 600 Thousands Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
9 Figure 9 STATES WITH THE MOST REPORTED CONFIRMED COVID-19 NEW CASES, JUNE 1, 2020–AUGUST 9, 2020 Thousands 0 100 200 300 400 500 600 Florida 475,976 838% California 445,013 388% Texas 437,735 667% Georgia 168,694 352% Arizona Number of New Cases 166,794 829% Since June 1, 2020 North Carolina 106,754 361% Tennessee 100,146 444% Percent Increase in Number Louisiana 91,058 226% of Cases Since June 1, 2020 South Carolina 88,287 727% Alabama 82,704 444% Illinois 74,146 61% Ohio 64,864 180% Virginia 54,688 120% Mississippi 51,421 326% New York 49,149 13% Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Figure 10 TOP 15 STATES FOR NUMBER OF REPORTED CONFIRMED COVID-19 CASES PER MILLION, AUGUST 9, 2020 Number of Confirmed COVID-19 Cases Per Million Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug Total CPM U.S. 15,313 Louisiana 28,265 Arizona 25,681 Florida 24,807 Mississippi 22,570 New Jersey 20,803 Alabama 20,667 Georgia 20,400 South Carolina 19,507 Rhode Island 18,632 Nevada 18,256 D.C. 18,070 Tennessee 17,969 New York 17,812 Massachusetts 17,561 Texas 17,359 0 5 10 15 20 25 30 Thousands Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
10 CANADIAN CASES In Canada, the number of daily new reported confirmed COVID-19 cases fell steadily from early May through June, slowly rose through July before slowly declining again (Figure 11). Quebec continues to show more than double the number of reported confirmed COVID-19 cases per million than the respective number for Canada as a whole (Figure 12). Figure 11 CANADIAN REPORTED CONFIRMED NEW COVID-19 CASES, AUGUST 9, 2020 3,000 2,500 2,000 7-Day Moving Average 1,500 1,000 500 Daily Reported Confirmed New COVID-19 Cases 0 Mar-01 Mar-08 Mar-15 Mar-22 Mar-29 May-03 May-10 May-17 May-24 May-31 Jul-05 Jul-12 Jul-19 Jul-26 Apr-05 Apr-12 Apr-19 Apr-26 Jun-07 Jun-14 Jun-21 Jun-28 Aug-02 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Figure 12 NUMBER OF REPORTED CONFIRMED COVID-19 CASES PER MILLION BY PROVINCE, AUGUST 9, 2020 Number of Confirmed COVID-19 Cases Per Million Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug Total CPM Canada 3,244 Quebec 7,171 Ontario 2,905 Alberta 2,630 Saskatchewan 1,237 Nova Scotia 1,109 British Columbia 784 Newfoundland and Labrador 510 Manitoba 398 Prince Edward Island 233 New Brunswick 228 0 1 2 3 4 5 6 7 8 Thousands Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
11 Reported Deaths WORLDWIDE DEATHS Through August 9, 2020, approximately 534,000 deaths due to COVID-19 had been reported worldwide. While the number of daily reported new COVID-19 cases has consistently risen since the start of the pandemic, the number of reported new COVID-19 deaths slowed from mid-April through the end of May before slowly rising again (Figure 13). In addition, there has been a clear shift in the concentrations of deaths by continent. Through April, most deaths occurred in Europe and North America. Since late April, new deaths in Europe have steadily declined while new deaths in North and Central America have declined only somewhat. However, daily new deaths from South America have increased steadily since late April, and daily deaths in Asia have steadily increased since the start of June. Figure 13 WORLDWIDE DAILY REPORTED NEW COVID-19 DEATHS BY CONTINENT, AUGUST 9, 2020 12,000 10,000 8,000 7-Day Moving Oceania Average Africa 6,000 South America 4,000 North & Central America Europe 2,000 Asia 0 Mar-01 Mar-15 May-01 May-15 Jul-01 Jul-15 Apr-01 Apr-15 Jun-01 Jun-15 Aug-01 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. The spike in new deaths on July 23, 2020, reflects Peru’s revised tally of deaths to include deaths that had previously been excluded. 1 The distribution of deaths across continents is more clearly illustrated in Figure 14. While the number of deaths in very early March was relatively small are not clearly visible in Figure 13, Figure 14 shows that nearly all of them were in Asia, with a few in Europe. By the end of March, most COVID-29 deaths were occurring in Europe, although deaths in North America were an increasingly larger proportion of total COVID-19 deaths. By early June, roughly one-third of COVID-19 deaths were occurring in Asia and Europe, roughly one-third in North and Central America, and roughly one-third in South America. 1VOA News. (2020, July 23). “Peru’s President Says Thousands of COVID-19 Victims Left Off Death Tally.” https://www.voanews.com/covid-19- pandemic/perus-president-says-thousands-covid-19-victims-left-death-tally. Copyright © 2020 Society of Actuaries
12 By August 9, 2020, 34% of new deaths occurred in Asia, South America accounted for 33% of new deaths, North and Central America accounted for 20% of new deaths. Figure 14 PROPORTION OF DAILY REPORTED NEW COVID-19 DEATHS BY CONTINENT, AUGUST 9, 2020 100% Oceania 90% 80% Africa 70% 60% South America 50% 40% North & Central America 30% Europe 20% 10% Asia 0% Mar-01 Mar-15 May-01 May-15 Jul-01 Jul-15 Apr-01 Apr-15 Jun-01 Jun-15 Aug-01 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Through the same date, roughly half (49.7%) of the reported COVID-19 deaths have occurred in four countries: the U.S., Brazil, Mexico and the U.K. (Figure 15). Note that since July 22, the number of deaths in Mexico has exceeded the number in the U.K. Also note that while Canada is not among the 15 countries with the most reported COVID-19 deaths, Canada is included in the graph as a point of reference. Because population sizes differ by country, considering the number of new deaths per million of population may be more illuminating than studying numbers of new deaths (Figure 16). While the U.S. ranks first in the number of deaths through August 9, 2020, it ranks eighth in the number of deaths per million. Belgium ranks first in number of deaths per million of population, followed by the U.K., Peru and Spain. Canada ranks seventeenth in number of deaths and twentieth in deaths per million. Copyright © 2020 Society of Actuaries
13 Figure 15 TOP 15 COUNTRIES FOR NUMBER OF REPORTED COVID-19 DEATHS, AUGUST 9. 2020 Number of Confirmed COVID-19 Deaths Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug % of World U.S. 22.3% Brazil 13.8% Mexico 7.2% U.K. 6.4% India 6.1% Italy 4.8% France 4.1% Spain 3.9% Peru 2.9% Iran 2.5% Russia 2.0% Colombia 1.8% South Africa 1.4% Chile 1.4% Belgium 1.3% Canada 1.2% 0 20 40 60 80 100 120 140 160 180 Thousands Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Figure 16 TOP 16 COUNTRIES FOR NUMBER OF REPORTED CONFIRMED COVID-19 DEATHS PER MILLION, AUGUST 9, 2020 Number of Confirmed COVID-19 Deaths Per Million of Population Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug Total DPM Belgium 856 U.K. 690 Peru 648 Spain 610 Italy 581 Sweden 574 Chile 532 U.S. 495 Brazil 479 France 464 Mexico 410 Panama 386 Ireland 363 Netherlands 360 Ecuador 341 Canada 241 0 200 400 600 800 1,000 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
14 U.S. DEATHS The number of reported new daily COVID-19 deaths in the U.S. generally declined from the first week of May through the first few days of July (Figure 17). One notable exception was June 25, when New Jersey reported 1,854 probable COVID-19 deaths since the start of the pandemic. 2 Prior to that, New Jersey, like other states, had reported only confirmed cases. Throughout July, daily reported new COVID-19 deaths steadily increased; the trend seems to have leveled off since then. Figure 17 U.S. DAILY REPORTED NEW COVID-19 DEATHS BY REGION, AUGUST 9, 2020 3,000 2,500 Mountain West Southeast 2,000 Southwest 1,500 7-Day Moving Average Midwest 1,000 Northeast Pacific 500 0 Mar-01 Mar-15 May-01 May-15 Jul-01 Jul-15 Apr-01 Apr-15 Jun-01 Jun-15 Aug-01 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. As the concentration of COVID-19 cases has shifted across regions, COVID-19 deaths have also shifted, which is especially apparent in Figure 18. During the first half of March, nearly all U.S. deaths were reported from Pacific states. Significant numbers of new COVID-19 deaths began regularly occurring in the Northeast in mid-March, with roughly one-half of deaths from the Northeast, about one-third from Pacific states, and the remainder distributed across other regions. In general, more than half of new COVID-19 deaths continued to occur in the Northeast until late May. During that period, the proportion of new reported COVID-19 deaths in the Midwest grew significantly. And by the end May, the proportion of new reported deaths from the Southeast had also grown substantially. Through June, the proportions of deaths occurring in the Northeast generally declined before ticking upward at the end of the month and into July. Proportions of new COVID-19 deaths attributable to the Midwest generally declined through June and into July. However, the proportions of new COVID-19 deaths steadily increased through June and July in the Southeast, Southwest and Pacific. Since mid July, roughly two-thirds of all U.S. COVID-19 deaths have been occurring in the Southeast and Southwest. 2 Murphy, Governor Phil. (2020, June 25). “Transcript: June 25th, 2020 Coronavirus Briefing Media.” State of New Jersey. https://www.nj.gov/governor/news/news/562020/20200625a.shtml. Copyright © 2020 Society of Actuaries
15 Figure 18 PROPORTION OF U.S. DAILY REPORTED NEW COVID-19 DEATHS BY REGION, AUGUST 9, 2020 100% 90% 80% Mountain West 70% Southeast 60% Southwest 50% Midwest 40% 30% Northeast 20% Pacific 10% 0% Mar-01 Mar-15 May-01 May-15 Jul-01 Jul-15 Apr-01 Apr-15 Jun-01 Jun-15 Aug-01 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Several states have surpassed New York and New Jersey in the number of reported confirmed COVID-19 cases, but New York and New Jersey continue to lead the U.S. in number of COVID-19 deaths, although by decreasing margins (Figure 19). New York and New Jersey also lead in numbers of COVID-19 deaths per million (Figure 20), but California and Texas—which rank third and fourth in number of deaths—do not appear in the list of top 15 states for deaths per million. Massachusetts, Connecticut and Rhode Island fill out the top 5 states for deaths per million. Figure 19 TOP 15 STATES FOR NUMBER OF REPORTED CONFIRMED COVID-19 DEATHS, AUGUST 9, 2020 Number of Confirmed COVID-19 Deaths Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug % of U.S. New York 20.1% New Jersey 9.7% California 6.4% Texas 5.6% Massachusetts 5.4% Florida 5.0% Illinois 4.8% Pennsylvania 4.5% Michigan 4.0% Connecticut 2.7% Louisiana 2.6% Georgia 2.6% Arizona 2.5% Ohio 2.3% Maryland 2.2% 0 5 10 15 20 25 30 35 Thousands Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
16 Figure 20 TOP 15 STATES FOR NUMBER OF REPORTED COVID-19 DEATHS PER MILLION, AUGUST 9, 2020 Number of Confirmed COVID-19 Deaths Per Million Reported During Period Ending... 30-Apr 31-May 30-Jun 31-Jul 9-Aug Total DPM U.S. 495 New Jersey 1,787 New York 1,387 Massachusetts 1,267 Connecticut 1,246 Rhode Island 957 Louisiana 917 D.C. 837 Michigan 653 Mississippi 637 Illinois 619 Delaware 607 Maryland 593 Pennsylvania 571 Arizona 570 Indiana 452 0 500 1,000 1,500 2,000 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. CANADIAN DEATHS In Canada, the number of daily new reported COVID-19 deaths saw a general downward trend from early May through July, after which deaths have essentially leveled off (Figure 21). Figure 21 CANADIAN REPORTED NEW COVID-19 DEATHS, AUGUST 9, 2020 300 250 200 150 100 7-Day Moving Average 50 Daily Reported New COVID-19 Deaths 0 Mar-01 Mar-08 Mar-15 Mar-22 Mar-29 May-03 May-10 May-17 May-24 May-31 Jul-05 Jul-12 Jul-19 Jul-26 Apr-05 Apr-12 Apr-19 Apr-26 Jun-07 Jun-14 Jun-21 Jun-28 Aug-02 Aug-09 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
17 Through August 9, 2020, approximately 95% of Canadian COVID-19 deaths have occurred in Quebec and Ontario (Figure 22). While Quebec has experienced about double the number of deaths as Ontario, Quebec is less populous. Quebec’s number of COVID-19 deaths per million is about 3.5 times that of Ontario (Figure 23). Figure 22 NUMBER OF REPORTED COVID-19 DEATHS BY PROVINCE, AUGUST 9, 2020 Number of Confirmed COVID-19 Deaths Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug % of Canada Quebec 63.1% Ontario 31.4% Alberta 2.3% British Columbia 2.2% Nova Scotia 0.7% Saskatchewan 0.2% Manitoba 0.1% Newfoundland and Labrador 0.0% New Brunswick 0.0% 0 1,000 2,000 3,000 4,000 5,000 6,000 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Figure 23 NUMBER OF REPORTED COVID-19 DEATHS PER MILLION BY PROVINCE, AUGUST 9, 2020 Number of Confirmed COVID-19 Deaths Per Million Reported During Period Ending... 31-Mar 30-Apr 31-May 30-Jun 31-Jul 9-Aug Total DPM Canada 241 Quebec 675 Ontario 196 Nova Scotia 66 Alberta 47.9 British Columbia 38.8 Saskatchewan 17.1 Manitoba 5.9 Newfoundland and Labrador 5.7 New Brunswick 2.6 0 100 200 300 400 500 600 700 800 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
18 Cases Per Million Compared to Deaths Per Million Locations with the greatest number of reported COVID-19 deaths per million are not always the locations with the greatest number of reported confirmed COVID-19 cases per million. This section of the report looks more closely at the relationship between these two metrics. Analysis of the reasons that regions have high or low cases per million or deaths per million is beyond the scope of this study. WORLDWIDE CASES PER MILLION COMPARED TO DEATHS PER MILLION In Figure 24 reported COVID-19 deaths per million by country are plotted along the vertical axis against reported confirmed COVID-19 cases per million along the horizontal axis. Countries with fewer than 4,000 cases per million and 400 deaths per million are not identified, except for Canada as a point of reference. As of August 9, 2020, Qatar stands out with an exceptionally high number of cases per million (39,881) but a low number of deaths per million (65). Belgium stands out with the highest number of deaths per million (856), although its number of cases per million (6,426) is more moderate relative to other countries. Copyright © 2020 Society of Actuaries
19 Figure 24 COVID-19 CASES PER MILLION AND DEATHS PER MILLION BY COUNTRY, AUGUST 9, 2020 < 4,000 4,000–10,000 Greater Than 10,000 CPM CPM Cases per Million (CPM) Reported COVID-19 Deaths Per Million 900 Belgium > 400 Deaths per 800 U.K. Million 700 Spain Peru 600 Italy Sweden Chile 500 France U.S. Brazil Mexico 400 Panama < 400 Deaths per 300 Armenia Million Canada 200 World Kuwait 100 Bahrain Oman Qatar 0 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 Reported Confirmed COVID-19 Cases Per Million < 4,000 4,000–10,000 CPM CPM Reported COVID-19 Deaths Per Million 400 Ireland 350 Ecuador Bolivia 300 < 400 Deaths per Million Switzerland North Macedonia 250 Colombia Canada Kyrgyzstan 200 South Africa Bosnia and Portugal Moldova Herzegovina Kosovo 150 Honduras Argentina Dominican Republic 100 World Saudi Arabia Kazakhstan Russia Belarus Israel 50 Singapore Costa Rica United Arab Emirates 0 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 Reported Confirmed COVID-19 Cases Per Million Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
20 U.S. CASES PER MILLION COMPARED TO DEATHS PER MILLION Within the U.S., the numbers of both cases per million and deaths per million for some states far exceed any country’s national metrics. Figure 25 shows that as of August 9, 2020, the U.S. national number of reported confirmed COVID-19 cases per million was 15,313, and the number of COVID-19 deaths per million was 495. The number of cases per million by state ranged from 2,338 in Vermont to 28,265 in Louisiana, while the number of deaths per million ranged from 22 in Hawaii to 1,787 in New Jersey. Figure 25 COVID-19 REPORTED CONFIRMED CASES PER MILLION AND DEATHS PER MILLION BY STATE, AUGUST 9, 2020 < 4,000 4,000–10,000 Greater Than 10,000 CPM CPM Cases per Million (CPM) Reported COVID-19 Deaths Per Million 1,800 NJ > 900 Deaths Per 1,600 Million (DPM) 1,400 NY CT MA 1,200 1,000 LA RI 800 DC 400–900 IL DPM 600 MI DE MS PA AZ IN US MD 400 GA FL < 400 DPM 200 ME AL VT 0 HI 0 5,000 10,000 15,000 20,000 25,000 30,000 Reported Confirmed COVID-19 Cases Per Million 4,000–10,000 Greater Than 10,000 Cases per Million Cases per Million Reported COVID-19 Deaths Per Million 400 SC 350 NM NH TX NV OH CO IA 300 < 400 Deaths per Million VA CA MN 250 WA NC 200 WI SD NE AR TN KY MO 150 ND OK ID KS 100 WV OR UT 50 MT WY 0 AK 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 Reported Confirmed COVID-19 Cases Per Million Copyright © 2020 Society of Actuaries
21 Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. CANADIAN CASES PER MILLION COMPARED TO DEATHS PER MILLION The plot of Canadian COVID-19 reported confirmed cases per million against reported deaths per million shows that Quebec and Ontario experience have heavily skewed the national statistics for Canada, but especially Quebec (Figure 26). As of August 9, 2020, Canada’s national COVID-19 reported confirmed cases per million and reported deaths per million were 3,244 and 241, respectively. The only province that exceeds either metric is Quebec, at 7,171 and 675, respectively. To understand the degree to which Quebec’s metrics influence the national metrics, one can compare the national metric to the recomputed national metric excluding Quebec: 2,101 cases per million and 115 deaths per million, both much lower than the metrics including Quebec. Within this subset of provinces, only Alberta and Ontario have greater numbers of cases per million—2,630 and 2,905, respectively. And only Ontario has a greater number of deaths per million, 166. Figure 26 COVID-19 REPORTED CONFIRMED CASES PER MILLION AND DEATHS PER MILLION BY PROVINCE, AUGUST 9, 2020 < 4,000 4,000–10,000 Cases per Million Cases per Million Reported COVID-19 Deaths Per Million 700 Quebec > 400 Deaths per Million 600 500 400 New Brunswick < 400 Deaths per 300 Manitoba Canada Newfoundland Million 200 and Labrador Ontario British Columbia 100 Nova Scotia Alberta 0 Saskatchewan 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 Reported Confirmed COVID-19 Cases Per Million Data source: Johns Hopkins University Coronavirus Resource Center https://coronavirus.jhu.edu/map.html and authors’ calculations. Copyright © 2020 Society of Actuaries
22 About The Society of Actuaries With roots dating back to 1889, the Society of Actuaries (SOA) is the world’s largest actuarial professional organizations with more than 31,000 members. Through research and education, the SOA’s mission is to advance actuarial knowledge and to enhance the ability of actuaries to provide expert advice and relevant solutions for financial, business and societal challenges. The SOA’s vision is for actuaries to be the leading professionals in the measurement and management of risk. The SOA supports actuaries and advances knowledge through research and education. As part of its work, the SOA seeks to inform public policy development and public understanding through research. The SOA aspires to be a trusted source of objective, data-driven research and analysis with an actuarial perspective for its members, industry, policymakers and the public. This distinct perspective comes from the SOA as an association of actuaries, who have a rigorous formal education and direct experience as practitioners as they perform applied research. The SOA also welcomes the opportunity to partner with other organizations in our work where appropriate. The SOA has a history of working with public policymakers and regulators in developing historical experience studies and projection techniques as well as individual reports on health care, retirement and other topics. The SOA’s research is intended to aid the work of policymakers and regulators and follow certain core principles: Objectivity: The SOA’s research informs and provides analysis that can be relied upon by other individuals or organizations involved in public policy discussions. The SOA does not take advocacy positions or lobby specific policy proposals. Quality: The SOA aspires to the highest ethical and quality standards in all of its research and analysis. Our research process is overseen by experienced actuaries and nonactuaries from a range of industry sectors and organizations. A rigorous peer-review process ensures the quality and integrity of our work. Relevance: The SOA provides timely research on public policy issues. Our research advances actuarial knowledge while providing critical insights on key policy issues, and thereby provides value to stakeholders and decision makers. Quantification: The SOA leverages the diverse skill sets of actuaries to provide research and findings that are driven by the best available data and methods. Actuaries use detailed modeling to analyze financial risk and provide distinct insight and quantification. Further, actuarial standards require transparency and the disclosure of the assumptions and analytic approach underlying the work. Society of Actuaries 475 N. Martingale Road, Suite 600 Schaumburg, Illinois 60173 www.SOA.org Copyright © 2020 Society of Actuaries
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