Afghanistan, the war on terror and the war on drugs

Watching scenes from Kabul airport recently felt like déjà vu for me. The Vietnam War ended in eerily similar scenes. I’ve been astonished to read more than one article that has described the events in Afghanistan as an unprecedented military defeat for the USA, or as a sign that the era of neoliberal intervention in foreign countries was over. If the USA did not learn anything from Vietnam, why would we assume it will this time when facts and evidence are even less valued than in the past. Several commentators have noted the intersection of the US war on terror and the war on drugs in Afghanistan. I have been engaged for nearly 20 years now in work to update global estimates of conflict deaths and global estimates of deaths attributable to drug use. I was curious to look a little more closely at relevant statistics.

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Spring in the time of coronavirus

Its been an odd spring in Geneva with days of sunshine interspersed between days of rain. After a slow start, 63% of the population have now received at least one dose of COVID19 vaccine (Pfizer or Moderna) and restrictions have been somewhat relaxed. People are now emerging from isolation and gathering together again in restaurants, bars and at the beaches around the lake. The bees are also out and about and I took a few photos of them in the backyard yesterday.

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Why do Americans die earlier than Europeans?

A recent paper by demographers Sam Preston and Yana Vierboom showed that there are an additional 400,000 deaths in the USA in 2017 that would not have occurred it the USA experienced European death rates. That is about 12% of all American deaths and higher than the COVID-19 death toll of around  380,000 in 2020.  In a Guardian article earlier this month they identified major factors contributing to this US “mortality penalty” including overweight and obesity, drug overdose, lack of health insurance, suicide, lack of gun control and racism. These deaths tend to occur at younger ages than Covid deaths on average, so that total potential years of life lost are three times greater for the excess deaths than for Covid in 2020 (13 million versus 4.4 million).

Preston and Vierboom used data from the Human Mortality Database (HMD) for their analysis. They calculated death rates based on the five largest European countries, whose combined population size is very similar to that of the United States: Germany, England and Wales, France, Italy, and Spain. They also argued that using these larger European countries  to provide a mortality standard would avoid unrealistic expectations that might result from comparisons including small countries with possibly exceptional combinations of factors affecting mortality (e.g., climate, diet, social history, and healthcare delivery).

A few days ago, I downloaded updated data from the HMD and replicated and extended their analysis to include years up to and including 2020, drawing on recent data from Eurostat and national health statistics agencies (see here for details of data, sources and methods).

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The twin pandemics and the second wave

Today, I took another look at the second wave of the Covid-19 pandemic using data on confirmed new cases per day. The first figure shows four countries where the second wave has peaked and is coming down. Australia is somewhat unique in that its second wave peaked considerably higher than the first. Croatia and likely Spain will join that club.

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A pandemic out of control

Over the last two days, I’ve been assessing the coronavirus situation across the world. I’ve posted a regional analysis of trends in new cases on my professional site (an-out-of-control-pandemic-in-most-world-regions).

I reproduce a graph of regional trends below. The dramatic difference in trajectories for Western Europe and the Americas is obvious. While levels are lower in most developing regions, this is mostly due to much lower levels of testing. But confirmed new cases in all regions apart from Europe and East Asia and Pacific are rising.

North America has the most out-of-control epidemic, and that is all due to the USA. I plotted trends for blue and red states in the USA. There is a dramatic difference, with most of the recent rise in new cases occurring in red states (that voted for Republican presidents in most of the recent presidential elections). In the week ending July 5, there were an average 226 new cases per 1 million population in red states compared to 88 per million in blue states.

In a second post which-countries-are-succeeding-and-not-succeeding, I have shown country-specific plots for selected examples of three groups of countries: (1) those that are beating Covid-19, (2) those that are nearly there, and  (3) those that need to take action.  The experiences of the first two groups of countries show that (a) it is important to act early, not wait till there a hundreds of deaths in the country, (b) it only takes about 5-7 weeks of strong interventions to get rid of the majority of cases and (c) half measures don’t work.

COVID-19: light at the end of the tunnel for some countries

Tomorrow, Switzerland will relax its social distancing regime. Classroom teaching at primary and lower secondary schools will again be permitted. Shops, markets, museums, libraries, gyms and restaurants will be able to reopen under strict compliance with precautionary measures. Switzerland has had the 10th highest death rate per million people but has been one of the few high death rate countries to successfully control the epidemic. See the plot for Switzerland below.

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COVID-19 short-run projections

Its now one month since my earlier post on the coronavirus pandemic    A lot has changed since then. We have gone from 24,392 deaths globally on March 26 to 206,915 on April 26th. And recent analysis of total registered deaths by week in February and March, compared to the same periods in the previous year, suggest that the reported deaths (mostly hospital deaths) are only about 70% of the actual deaths. The proportion of deaths reported in developing countries without good death registration (including most of Africa, and much of Asia) will be even lower.

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COVID-19: the big picture

Today Switzerland became the country with the highest rate of confirmed cases of corona virus per million population. Well, that is if you ignore some micro-populations such as the Vatican City, San Marino, Andorra and Faeroe Islands. Why?  It is landlocked with Italy, France and Germany around it. It did not close the border between Ticino and Italy for cross-border workers and many live in Italy were the virus spread rapidly. Also, it was the height of the ski season and alpine resorts were crowded with skiers from all over Europe, Britain and beyond. Here is a graph I did yesterday comparing confirmed cases per million population  for the thirty leading countries (excluding small countries with population less than one million. Data are from worldometers.com at 13.11 GMT on March 24. A this point Switzerland had not yet overtaken Italy.

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