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    JAMA: Omicron causes more excess deaths in Massachusetts than Delta

    The latest research from the international authoritative medical journal "JAMA" shows that in Massachusetts, the new coronavirus variant Omicron has caused more excess deaths than Delta. And it took less time: Omicron lasted 8 weeks, Delta lasted 23 weeks. This is contrary to what many people think of as "the damage caused by Omicron is less".
    Excess deaths are the difference between the actual number of deaths and the expected number of deaths in a population in a region, and it is a more comprehensive measure of the number of deaths directly or indirectly caused by the virus. The study states that the increase in all-cause excess mortality in Massachusetts during the wave of infections in Omikron reflects higher fatality rates ( Omikron has a lower infection rate relative to Delta* much higher than Delta's number of infections ) .
    Specifically, during the 23-week Delta infection wave, the excess deaths in Massachusetts were 1,975 (27,265 observed deaths, 25,290 expected deaths, 95% confidence interval: 671-3297 cases) excess deaths). During the 8-week wave of infections in Omicron, 2,294 excess deaths occurred (12,231 observed deaths, 9,937 expected deaths, 95% confidence interval: 1,795-2,763 excess deaths). The ratio of weekly excess deaths in Omicron to Delta was 3.34 times (95% confidence interval: 3.14-3.54).
    With a population of 6.9 million, Massachusetts is one of the richest and most technologically advanced regions in the United States. It has top universities such as Harvard and MIT, and is also the headquarters of many pharmaceutical giants. The vaccination rate of Massachusetts is also one of the highest in the United States. 80% of the population has completed the entire vaccination, while the national data is about 60%. Harlan M. Krumholz, co-author of the paper, director of Yale University (CORE) and a professor at the Yale School of Medicine, said the results were surprising and disturbing. " In a state of high vaccination rates, Omicron is still responsible for a very high number of deaths ," Krumholz said. "This shows that measures to ensure high vaccination rates and reduce transmission must be used together ."
    Dr. Jeremy Faust, an emergency physician at Harvard Medical School's Brigham and Women's Hospital, said the study shows that even when a future wave of new mutant strains hits, scientists report that the strain is "milder" and That doesn't mean it's not extremely dangerous.
    The study showed Omicron was responsible for excess deaths in all age groups 18 and older, with the 65 and older group having the highest number of excess deaths.
    Bill Hanage, an epidemiologist at the Harvard School of Public Health who was not involved in the study, said the higher excess deaths during the Omicron wave in Massachusetts may have been due to the state's measures to curb the spread of the virus during previous delta outbreaks. measure. During the Omicron wave, the overall attitude of the United States basically followed the trend.
    Hanage also said that compared to Delta and others, Omicron appeared to be more "mild", possibly a result of the higher population immunity in the United States at the time. Hanage published a paper in the New England Journal of Medicine (NEJM), an international authoritative medical journal, in February, pointing out that the milder symptoms of Omicron infection may be due to the existence of more immunity in the infected, rather than the virus itself being "mild" ". In other words, by the time Omicron came, more Americans had been vaccinated or infected with COVID-19 than in previous waves.

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