Excess mortality in April, not anymore in early May

© Hollandse Hoogte / Ton Toemen
In the first week of May 2022 (week 18, i.e. 2 to 8 May inclusive), an estimated 3,000 deaths were recorded. This is slightly more than in the previous week (3,090) and approximately 150 more than expected. Approximately 1,850 more deaths than expected were recorded in April; there was excess mortality in four of the five weeks. Mortality was up mainly among long-term care recipients and people aged 65 and over. Statistics Netherlands (CBS) reports this based on the latest provisional weekly mortality figures.

Mortality figures for April cover a period of five weeks: week 13 to 17 inclusive (i.e. from 28 March to 1 May 2022). Weeks 13 up to and including week 16 had higher than expected mortality, with the number of deaths falling outside the usual range of fluctuations, i.e. there was excess mortality. In January and February, mortality was lower than expected for eight consecutive weeks; in March, it subsequently rose beyond the expected level. That month, on average almost 150 excess deaths were recorded each week; by April, this had increased to over 350 per week on average.

Weekly mortality*
   DeathsExpected mortalityExpected mortality (95% interval)
20201310332772908 – 3645
20202336433112930 – 3692
20203315733442945 – 3742
20204304633923008 – 3776
20205316434073027 – 3788
20206319634012979 – 3823
20207319834082916 – 3901
20208295933872851 – 3922
20209309833522805 – 3898
202010310733152785 – 3845
202011321832532756 – 3751
202012361431742711 – 3637
202013445831042703 – 3505
202014508530242712 – 3337
202015498229572719 – 3195
202016430829152711 – 3120
202017391028692677 – 3060
202018338328412650 – 3032
202019298928212633 – 3009
202020277727942626 – 2962
202021277027702620 – 2920
202022273227532608 – 2898
202023268227352591 – 2880
202024268927372600 – 2875
202025269627252594 – 2855
202026265927172577 – 2857
202027263827232544 – 2902
202028261927192515 – 2923
202029252827202507 – 2934
202030267327072515 – 2900
202031266626872492 – 2882
202032264226822483 – 2881
202033320926692481 – 2857
202034285626632510 – 2815
202035273526672526 – 2807
202036269226762549 – 2804
202037274226982564 – 2832
202038272127292585 – 2873
202039289127522618 – 2886
202040300227862628 – 2943
202041302228072655 – 2960
202042322228392677 – 3001
202043344828622661 – 3063
202044368728892683 – 3095
202045358929022692 – 3111
202046358029322710 – 3155
202047333529722742 – 3202
202048340530122762 – 3263
202049353030372742 – 3332
202050361531002800 – 3399
202051390931662830 – 3501
202052386732222871 – 3573
202053410332662906 – 3625
20211414433092940 – 3677
20212385233432962 – 3724
20213386233762978 – 3775
20214371634253040 – 3809
20215365434403060 – 3821
20216355034343012 – 3856
20217352834412949 – 3934
20218320734202884 – 3955
20219310533842838 – 3931
202110324533472817 – 3877
202111304332852787 – 3782
202112304532052742 – 3668
202113317831342733 – 3535
202114316430542741 – 3366
202115314129862748 – 3224
202116314529442739 – 3148
202117312528972705 – 3088
202118300328692677 – 3060
202119301828492660 – 3037
202120298928212653 – 2989
202121280627972646 – 2947
202122300927802635 – 2925
202123288427622617 – 2906
202124287127642627 – 2901
202125267527512620 – 2882
202126279327432603 – 2883
202127283827502571 – 2929
202128287227452541 – 2949
202129277627472534 – 2960
202130291327342541 – 2926
202131295927132518 – 2908
202132284027082509 – 2907
202133289926952507 – 2883
202134292926882535 – 2841
202135286026932552 – 2833
202136309027022575 – 2829
202137291827242590 – 2858
202138288927552612 – 2899
202139307227782644 – 2912
202140307028132655 – 2970
202141306228352682 – 2987
202142327328662705 – 3028
202143338528892688 – 3090
202144351529172711 – 3123
202145378429302720 – 3139
202146399429602738 – 3183
202147419030012771 – 3231
202148438730422791 – 3292
202149436430662771 – 3361
202150403631302830 – 3429
202151374031962861 – 3531
202152365232532902 – 3605
20221343433212953 – 3690
20222315433562975 – 3737
20223318933902991 – 3788
20224320034383054 – 3822
20225328234543073 – 3835
20226324834473025 – 3870
20227337434552963 – 3947
20228334634332898 – 3969
20229323133972851 – 3944
202210338133602830 – 3890
202211359132982800 – 3795
202212361532172754 – 3680
202213355631462745 – 3547
202214356430662753 – 3378
202215350229972759 – 3235
202216321329552751 – 3159
202217309029082716 – 3100
202218301628802689 – 3071
20221928602672 – 3048
20222028322664 – 3000
20222128082657 – 2958
20222227912645 – 2936
20222327732628 – 2917
20222427752637 – 2912
20222527622631 – 2893
* Provisional figures. Week 18 in 2022 is an estimate.

Excess mortality in April among-term care recipients in particular

Based on the estimate, in week 18 mortality remained roughly unchanged from the previous week among people receiving care under the Long-term Care Act (Wlz), including residents of nursing homes and institutions for the disabled. Mortality declined slightly among the rest of the population. There were approximately 1,200 deaths among long-term care users (150 more than expected) and 1,800 deaths among the rest of the population, more or less as expected.
In April, nearly 1,150 more long-term care recipients died than expected for that month. There was excess mortality for three weeks. Among the rest of the population, there were around 700 more deaths in April than expected. There was a small margin of excess mortality.

Weekly mortality*, by Long-term care (Wlz) use
   Long-term care (Wlz) usersLong-term care (Wlz) users, expectedLong-term care (Wlz) users, expected (95% interval)Other populationOther population, expectedOther population, expected (95% interval)
20201121012521052 – 1451189320251780 – 2270
20202126512721076 – 1468209920391793 – 2285
20203113512821086 – 1478202220621805 – 2319
20204112513011113 – 1489192120911842 – 2339
20205109813101118 – 1503206620971853 – 2341
20206114213091099 – 1519205420921826 – 2358
20207115513091069 – 1549204320991796 – 2403
20208112912961044 – 1549183020911762 – 2419
20209119512761005 – 1546190320761756 – 2396
20201011641260989 – 1531194320561752 – 2359
20201112001229950 – 1507201820251741 – 2308
20201213361191928 – 1454227819831714 – 2252
20201316561156912 – 1400280219481715 – 2180
20201422121120915 – 1326287319041709 – 2100
20201524091091910 – 1273257318661709 – 2022
20201620661075912 – 1238224218401691 – 1990
20201717161055898 – 1211219418141663 – 1965
20201814291048900 – 1195195417931643 – 1944
20201911861038897 – 1179180317831631 – 1935
20202010311029902 – 1155174617651615 – 1915
20202110691015892 – 1138170117551615 – 1895
20202210041007887 – 1127172817461602 – 1890
202023909995886 – 1104177317401585 – 1895
202024958997888 – 1106173117401592 – 1889
202025913989879 – 1099178317361585 – 1886
202026940985864 – 1107171917321585 – 1879
202027932992850 – 1134170617311567 – 1896
202028911998849 – 1147170817211552 – 1890
2020299001003855 – 1152162817171555 – 1879
2020309571004854 – 1154171617041553 – 1855
202031946997851 – 1143172016901540 – 1840
202032904993846 – 1140173816901546 – 1834
2020331311987840 – 1134189816821531 – 1832
2020341113980849 – 1111174316831553 – 1813
202035995974860 – 1087174016931550 – 1835
202036942973860 – 1087175017031562 – 1844
202037942977865 – 1089180017211579 – 1862
202038980989876 – 1102174117401594 – 1886
20203910541001892 – 1110183717511606 – 1896
20204010761015897 – 1133192617711632 – 1909
20204110901028908 – 1147193217801638 – 1922
20204212191042910 – 1175200317971663 – 1930
20204313171054912 – 1195213118081650 – 1966
20204415201068920 – 1215216718211662 – 1981
20204513911074925 – 1224219818271664 – 1991
20204614241086936 – 1235215618461678 – 2014
20204712871102953 – 1252204818701684 – 2056
20204812871121964 – 1278211818921702 – 2081
20204912861135970 – 1300224419011683 – 2120
20205014521163996 – 1329216319371721 – 2153
202051160711931019 – 1368230219721739 – 2205
202052172712231035 – 1410214019991763 – 2236
202053173212441050 – 1437237020221781 – 2263
20211165712641065 – 1463248720451799 – 2290
20212158812841089 – 1480226420591813 – 2305
20213153912941098 – 1491232320821825 – 2339
20214146513131125 – 1501225121111863 – 2360
20215143713231131 – 1515221721171874 – 2361
20216135113221112 – 1532219921121846 – 2379
20217136613221082 – 1562216221201816 – 2423
20218115913091056 – 1561204821111783 – 2439
20219110512881018 – 1559200020961776 – 2416
202110114712721001 – 1543209820751772 – 2379
2021119971241962 – 1519204620441761 – 2328
20211210451203939 – 1466200020021733 – 2271
20211310301167923 – 1412214819671734 – 2199
2021149921131925 – 1337217219231727 – 2118
2021159781102920 – 1283216318841727 – 2040
2021169731085922 – 1248217218581708 – 2008
20211710431065908 – 1221208218321681 – 1983
20211810091058910 – 1205199418111660 – 1961
20211910051048907 – 1189201318001648 – 1952
2021209921039912 – 1165199717821632 – 1933
2021219871025902 – 1147181917721632 – 1912
20212210701017897 – 1137193917631619 – 1907
2021239961005896 – 1114188817571602 – 1912
20212410611007897 – 1116181017571609 – 1906
202125960999889 – 1109171517521602 – 1903
202126986995874 – 1116180717491601 – 1896
20212710371002859 – 1144180117481584 – 1913
20212810381008858 – 1157183417371569 – 1906
20212910241013865 – 1161175217341572 – 1896
20213010451013863 – 1164186817201569 – 1871
20213110981007861 – 1153186117061556 – 1856
20213210521002855 – 1149178817061562 – 1850
2021331075997850 – 1144182416981548 – 1848
2021341049989858 – 1120188016991569 – 1829
2021351031983870 – 1097182917091567 – 1851
2021361113983869 – 1097197717191578 – 1861
2021371043987874 – 1099187517371596 – 1879
2021381037999886 – 1112185217571611 – 1902
20213910441010901 – 1119202817681623 – 1913
20214011321025907 – 1143193817881650 – 1926
20214111121037918 – 1157195017971655 – 1939
20214212511052920 – 1185202218141680 – 1948
20214313201064922 – 1205206518251668 – 1983
20214413341078930 – 1226218118391679 – 1998
20214514641085935 – 1234232018451682 – 2009
20214616041096947 – 1245239018641696 – 2032
20214716861113964 – 1262250418881703 – 2074
20214817041132975 – 1288268319101720 – 2099
20214917651146981 – 1311259919201701 – 2138
202150162411741008 – 1341241219561740 – 2172
202151142812051031 – 1379231219911759 – 2224
202152135212351047 – 1422230020191782 – 2256
20221120212691069 – 1468223220531807 – 2298
20222116412891094 – 1485199020671821 – 2313
20223112012991103 – 1496206920901833 – 2347
20224119213191131 – 1507200821191871 – 2368
20225114013281136 – 1521214221261882 – 2369
20226122013271117 – 1537202821201854 – 2387
20227121413271087 – 1567216021281825 – 2431
20228125213141061 – 1567209421191791 – 2448
20229123012931023 – 1564200121041784 – 2424
202210128712771006 – 1548209420841780 – 2387
20221114201245967 – 1524217120521769 – 2336
20221214361207944 – 1471217920101741 – 2279
20221314361172928 – 1416212019741742 – 2207
20221414121135930 – 1341215219301735 – 2126
20221514091106924 – 1288209318911735 – 2048
20221612381090927 – 1253197518651716 – 2015
20221712181069913 – 1226187218391688 – 1990
20221811941062915 – 1209182218181667 – 1968
2022191052911 – 119418071655 – 1959
2022201043916 – 116917891639 – 1940
2022211029906 – 115117791639 – 1919
2022221021901 – 114117701626 – 1914
2022231009900 – 111817641609 – 1919
2022241011901 – 112017641616 – 1913
2022251003893 – 111317591608 – 1910
* Provisional figures. Week 18 in 2022 is an estimate.

Elevated mortality in April among over-65s in particular

Among the population aged 80 and over, mortality continued to decline in week 18, to just under 1,700 deaths (estimated). This is slightly more than expected for this period. In April, nearly 1,300 more over-80s died than expected for that month. There was excess mortality in four of the five weeks.
Among people aged 65 to 79 years, an estimated 950 deaths were recorded in week 18, over 50 more than expected. According to this estimate, mortality was just below the excess level. Over the whole of April, more than 400 deaths were expected among the population aged 65 to 79 years; there were two weeks with excess mortality.
Among the population under 65, week 18 mortality was estimated at 400, i.e. more or less the expected number. In April, around 150 more deaths than expected were recorded in this age group, with two weeks showing excess mortality.

Weekly mortality*, by age
   0 to 64 years0 to 64 yrs, expected0 to 64 yrs, expected (95% interval)65 to 79 yrs65 to 79 yrs, expected65 to 79 yrs, expected (95% interval)80 yrs and over80 yrs and over, expected80 yrs and over, expected (95% interval)
20201385415374 – 456896947852 – 1041182219181632 – 2204
20202432413371 – 456967944851 – 1038196519571650 – 2263
20203418415371 – 460913944851 – 1038182619881657 – 2319
20204354417374 – 459936949856 – 1043175620301701 – 2360
20205450417375 – 460924956857 – 1056179020391717 – 2360
20206401417371 – 463982957843 – 1071181320321691 – 2373
20207408420374 – 466938961832 – 1091185220321649 – 2415
20208340420374 – 467870961815 – 1108174920091600 – 2418
20209404420370 – 470911951805 – 1096178319841574 – 2394
202010394417370 – 464889944804 – 1085182419571557 – 2357
202011410415367 – 463948932803 – 1062186019091537 – 2281
202012449410364 – 4561079917796 – 1039208618491503 – 2195
202013502407366 – 4481401907806 – 1008255517911486 – 2097
202014499401357 – 4441503889806 – 972308317351490 – 1981
202015485394355 – 4321435876809 – 942306216881496 – 1880
202016426389350 – 4271234867799 – 935264816601505 – 1815
202017455383341 – 4251155857787 – 926230016301490 – 1769
202018446381342 – 4191000847779 – 916193716131472 – 1755
202019391380339 – 420915845777 – 912168315971458 – 1735
202020374378339 – 418835834768 – 901156815811460 – 1703
202021367377335 – 419805832766 – 898159815601459 – 1661
202022371376330 – 422858830764 – 895150315471451 – 1643
202023386378335 – 421835827767 – 887146115291425 – 1634
202024405383340 – 425834829770 – 888145015251431 – 1619
202025375382341 – 423855827765 – 889146615141427 – 1601
202026381384342 – 426828825763 – 887145015071407 – 1606
202027402385342 – 428809829764 – 894142715071375 – 1639
202028390386347 – 424812830760 – 899141715011352 – 1650
202029373389351 – 426775830762 – 899138014991337 – 1661
202030407387349 – 425823828759 – 896144314911343 – 1639
202031376383347 – 419841824752 – 896144914781334 – 1622
202032420384345 – 423820829755 – 904140214671318 – 1615
202033463382345 – 418928826749 – 904181814591325 – 1592
202034417382342 – 422863829756 – 901157614501346 – 1554
202035353384338 – 429865831761 – 900151714501354 – 1546
202036416385339 – 431828833766 – 900144814561373 – 1538
202037396390343 – 437898839773 – 905144814661383 – 1548
202038395397350 – 445845850777 – 923148114791390 – 1568
202039394396346 – 447880855785 – 924161714981416 – 1580
202040435400348 – 453917865789 – 941165015181416 – 1620
202041379400354 – 447990868785 – 950165315371436 – 1638
202042432405360 – 449987872788 – 956180315601446 – 1674
202043425406362 – 4501080878787 – 969194315761438 – 1713
202044409403360 – 4471166888798 – 979211215951443 – 1748
202045434403362 – 4431111890807 – 973204416071441 – 1774
202046435408369 – 4461059898814 – 982208616251449 – 1801
202047417411376 – 4471083913829 – 996183516471468 – 1826
202048436414377 – 4501084925845 – 1005188516731482 – 1863
202049446411373 – 4501112933843 – 1022197216921481 – 1903
202050464413374 – 4511104938853 – 1023204717491525 – 1973
202051473416378 – 4541187941848 – 1034224918091563 – 2056
202052432415375 – 4551146944849 – 1039228918651598 – 2132
202053462413372 – 4541280958863 – 1052236118981621 – 2174
20211430411369 – 4521179971877 – 1065253519301644 – 2215
20212410409367 – 4511111969875 – 1062233119691662 – 2275
20213426411366 – 4551087969875 – 1062234920001670 – 2331
20214403412370 – 4551106974880 – 1067220720421713 – 2372
20215380413370 – 4551101981881 – 1080217320511730 – 2372
20216410413366 – 4591097981867 – 1095204320441703 – 2385
20217478415369 – 4621039986856 – 1115201120441661 – 2427
20218403416369 – 463985986840 – 1133181920211612 – 2430
20219416415365 – 466969975830 – 1121172019971587 – 2407
202110416413365 – 460990969828 – 1109183919691569 – 2369
202111415410363 – 458985956827 – 1085164319211549 – 2292
202112389405360 – 4511008941819 – 1062164818601514 – 2206
202113414402361 – 4441041930830 – 1031172318021497 – 2108
202114449396353 – 4401047912829 – 995166817461500 – 1992
202115440390351 – 4281079898831 – 965162216991507 – 1891
202116454385346 – 4231019890822 – 958167216701515 – 1825
202117437379337 – 4201046879809 – 948164216401500 – 1779
202118411377338 – 4151023869801 – 937156916231482 – 1764
202119496376335 – 416937866799 – 934158516071468 – 1745
202120416374335 – 4141026855789 – 922154715911469 – 1712
202121397373331 – 415867854788 – 920154215701469 – 1671
202122438372326 – 418946851786 – 916162515561460 – 1652
202123404374331 – 417928848789 – 908155215391434 – 1643
202124411378336 – 421897850791 – 909156315341440 – 1629
202125401378337 – 419849848787 – 910142515231437 – 1610
202126426380338 – 422865846784 – 908150215161417 – 1615
202127414381338 – 424896851786 – 916152815161385 – 1648
202128408382343 – 420900851782 – 920156415101361 – 1659
202129378385347 – 422909852783 – 920148915091347 – 1671
202130398383345 – 421943849781 – 917157215001352 – 1648
202131416379343 – 415922845773 – 917162114871343 – 1631
202132416380341 – 419884851776 – 925154014751327 – 1623
202133408378341 – 414920848771 – 925157114671334 – 1601
202134446378338 – 418946850777 – 923153714591354 – 1563
202135427380334 – 425886852782 – 922154714591363 – 1555
202136435381335 – 4271023854787 – 922163214641382 – 1547
202137428386339 – 433932861794 – 927155814751392 – 1557
202138439393346 – 440926872799 – 945152414881399 – 1577
202139439392342 – 443986877807 – 946164715071425 – 1589
202140432396344 – 4491006887811 – 963163215271426 – 1629
202141445396349 – 443968890808 – 972164915461445 – 1647
202142443400356 – 4451010894810 – 978182015701455 – 1684
202143444402358 – 4461044900809 – 991189715851448 – 1722
202144454399355 – 4431139911820 – 1002192216051453 – 1758
202145475398358 – 4391185913830 – 996212416171451 – 1783
202146441404365 – 4421216921837 – 1005233716351459 – 1811
202147495407371 – 4421272936852 – 1020242316571478 – 1836
202148494409372 – 4461329949869 – 1029256416831492 – 1873
202149533407369 – 4451312957867 – 1046251917021492 – 1913
202150475408369 – 4471242962878 – 1047231917601536 – 1984
202151495412373 – 4501143965872 – 1058210218201574 – 2067
202152493411371 – 4511143968873 – 1064201618761609 – 2143
20221464404363 – 4461087981886 – 1075188319401654 – 2226
20222388403361 – 445960978884 – 1072180619791673 – 2286
20223397405360 – 4491011978885 – 1072178120111680 – 2342
20224358406363 – 448981983890 – 1076186120531724 – 2383
20225454406364 – 449988990891 – 1090184020621741 – 2383
20226381406360 – 453999991877 – 1105186820551714 – 2396
20227374409363 – 4551039995866 – 1125196120551672 – 2438
20228391409363 – 4561033996849 – 1142192220321623 – 2441
20229408409359 – 459957985839 – 1130186620071597 – 2417
202210450406359 – 4531003978837 – 1119192819801580 – 2380
202211412404356 – 4521115965836 – 1095206419311559 – 2303
202212432399353 – 4451075950829 – 1072210818701524 – 2216
202213447396355 – 4371037939839 – 1040207218121506 – 2118
202214416390347 – 4341067921838 – 1004208117551509 – 2001
202215429384345 – 4221020907840 – 974205317081516 – 1900
202216415379340 – 417926898830 – 966187216791524 – 1834
202217360373331 – 415921887818 – 957180916481509 – 1788
202218392371333 – 409942878809 – 946168216321491 – 1773
202219370329 – 411875807 – 94216151477 – 1754
202220369329 – 408864797 – 93015991478 – 1721
202221367326 – 409862796 – 92815781477 – 1679
202222367321 – 413859794 – 92415641468 – 1660
202223368325 – 411857797 – 91715471443 – 1651
202224373330 – 415858799 – 91715421448 – 1637
202225372331 – 414857795 – 91815311445 – 1618
* Provisional figures. Week 18 in 2022 is an estimate.

COVID-19 mortality known up to January inclusive

The figures on (excess) mortality are based on municipal death records as received by CBS on a daily basis. These reports do not contain any information about the cause of death. CBS receives such information at a later stage via death cause certificates. The cause of death is known for all deceased up to and including January 2022. According to these figures, altogether 40,679 people died due to COVID-19 in the period March 2020 to January 2022 inclusive. According to RIVM, there has been an influenza epidemic in the Netherlands since 16 March 2022, aside from the ongoing coronavirus pandemic.

Estimate for week 18

The figures for week 18 of 2022 are estimates that are based on 83 percent of the overall number of death records to be received by CBS. CBS will publish provisional weekly mortality figures for week 18 on Friday 20 May. The figures will be more complete by then.