Country’s morbidity rates soar above predictions as virus bites

Covid-19 has sent the number of natural deaths in SA significantly higher than the predicted number based on historical data, the Medical Research Council said yesterday.

The MRC’s weekly report on deaths said there was an upward trend in all provinces except Mpumalanga, the Northern Cape and North West.

Between May 6 (when the Covid-19 death toll was 152) and June 23 (when it was 2,102), there had been an “excess” of 4,039 deaths from natural causes, the report said.

The authors of the report said: “This ... is an estimate of the number of deaths in excess of expectation due to the

Covid-19 epidemic and not of those infected with the SarsCoV-2 virus alone.

“It includes incidental deaths resulting from such things as shortage of health care and medications due to either the demands on the health systems by the virus or strategies to combat the epidemic.”

The report highlighted the Western Cape, the Eastern Cape, Gauteng and KwaZuluNatal as provinces experiencing an excess number of natural deaths.

Cape Town had 2,167 excess deaths, the three Gauteng metros of Johannesburg, Ekurhuleni and Tshwane 428, and the Eastern Cape metros of Buffalo City and Nelson Mandela Bay had 657.

“A sharp increase in natural deaths was observed in Buffalo City and the weekly number of natural deaths is significantly higher than the predicted number,” the report said.

Authors Debbie Bradshaw, Ria Laubscher, Rob Dorrington, Pam Groenewald and Tom Moultrie, from the MRC burden of disease research unit, cautioned that the statistics in the report should be regarded as estimates.

“The department of home affairs has faced sporadic temporary office closures, particularly in areas that are more affected by Covid-19. This may affect our allocation of a death to a metro area,” they said.

“For example, a death that occurred in Cape Town might have been registered at an office outside the city because of a temporary closure.

“Closure may also cause a delay in the processing of the death registration which would result in an underestimate of the deaths in the most recent week.

“This accounts for the kinks in what should otherwise be a smooth increase in numbers of deaths in Cape Town and Buffalo City, for example.”

Deaths of people who were not on the national population register, such as of foreigners, also necessitated estimates.

By Tuesday, 2,657 people had died of Covid-19 nationwide, and the daily increase of 128 was a record.

About 70% of deaths have been in the Western Cape.