
On 12 January, one of the grimmest findings of the Covid-19 pandemic was published: “excess deaths” in England and Wales were reported to have risen to their highest level since the Second World War. In 2020, 608,002 deaths were registered, the largest number since the 1918 Spanish flu and 75,925 more deaths than occurred on average over the preceding five years (the technical definition of excess deaths).
But few noticed another disquieting trend on the viral graphs: even before the pandemic, excess deaths were rising – by 2,911 in 2012, 11,314 in 2013, 6,408 in 2014, 32,624 in 2015, 20,735 in 2016, 20,803 in 2017, 22,355 in 2018 and 4,647 in 2019. By contrast, over the preceding 20 years, excess deaths fell in all but two years (1993 and 1995).