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 COVID-19 Update: Key Statistics

August 11, 2020
COVID-19 Update: Key Statistics - August 11, 2020 - SOA.org
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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
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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
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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
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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.

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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
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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
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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
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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
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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.

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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
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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
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