Mortality, causes of death

The mortality statistics survey the number of deaths, the cause of death statistics survey the causes behind these (see "specific causes of death"). Following a long stable phase, the number of deaths has increased again since the mid 2000s. In contrast, the standardised mortality rate continues to fall and has more than halved since 1970.

Mortality

Year	Number of deaths		Standardised mortality rate1
	Men	Women	Men	Women
2018	32 398	34 690	492	344
2017	32 406	34 565	513	349
2016	31 283	33 681	508	352
2015	32 646	34 960	547	367
2014	30 950	32 988	534	356
2013	31 257	33 704	555	371

1 Standardised mortality rate by age per 100,000 inhabitants Source: BEVNAT, CoD

Continuous registration of deaths

For weeks 7 - 12 (15.2 - 28. 3. 2021), around 1090 fewer deaths than expected have been registered so far. This corresponds to the natural course of an epidemic. Among the approximately 8380 more than expected deaths in the second wave of Covid-19 in people aged 65 years and above, some were of people who were probably in such poor health that their lives were shortened by only a few weeks. In addition, there are still pending notifications. Only after the end of the epidemic in Switzerland, will it be possible to determine the total number of deaths from Covid-19.

In the first wave of the SARS-CoV-2 epidemic, excess mortality was observed from 16.3.2020 (week 12) to 19.4.2020 (week 16). During those weeks, 1500 more people than expected died in the age group 65 and above (26%) and in the under-65 age group, 100 (12%) more people than expected. The week with the highest excess mortality in the first wave was week 14: Between 30 March and 5 April, 46% more people aged 65 and above died than expected.

In the second wave of the SARS-CoV-2 epidemic, another period of excess mortality was observed from 19.10.2020 (week 43) to 31.1.2021 (week 4). During these weeks, 8380 more people than expected (47%) died in the age group 65 and above and about 240 more people (10%) than expected died in the under-65 age group. In the weeks 46 to 51 (9.11.-20.12.), between 165% and 170% of the expected deaths were counted in the age group 65 and above.

The evolution of excess mortality was not the same throughout Switzerland’s regions, see here. Please take into account the remark on methodology below. As the number of deaths in 2020 was extraordinarily high, the calculation of excess mortality in 2021 continues to be based on the expected number of deaths calculated for 2020.

Methodology: Deaths are reported to the competent civil registry office and recorded in a central database. Assuming a constant reporting flow, the FSO estimates the number of cases. The number of deaths normally expected is calculated on the basis of the development of case numbers in each age group over the previous five years. The seasonal distribution of deaths over the 52 weeks of the year is calculated on the basis of the median of each calendar week of the past ten years. Finally, a range is calculated for each expected value within which fluctuations must be considered random. The calculation of the expected number of deaths thus does not simply correspond to an average value, but takes into account the change in the population from year to year as well as random fluctuations.

In mortality monitoring, the "observed" figures can thus be compared with the "expected" figures. The FSO has been publishing these figures weekly since 11 May 2015. The monitoring covers all persons resident in Switzerland who have died in Switzerland.

The annual case numbers on influenza reported in the cause of death statistics of previous years are not suitable and not comparable for monitoring acute infectious diseases. In the cause of death statistics, a single diagnosis of the disease that led to death must be selected for each death. According to the rules of the World Health Organization, this is the underlying disease that was at the beginning of the course of the disease and not the last event that finally led to death. Even in the case of multiple illnesses, the tables published worldwide on the causes of death include only one underlying disease.

Additional information

Number of deaths and mortality rates

For three decades, the annual number of deaths was around 60,000. In recent years, it has increased. In 2012, for the first time over 64,000 deaths were recorded. Whereas the number of deaths of persons aged under 80 is decreasing, the trend is the opposite for persons aged over 80. This can be explained by the increasing number of elderly persons. A continuous decline in the standardised mortality rates by age can be observed with exceptions in the years 1990 and 2015.

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