1,468 COVID-19 deaths in Q3 2022

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© Hollandse Hoogte / Patricia Rehe
In the third quarter of 2022, a total of 1,468 people died due to COVID-19. This number is similar to the second quarter but higher than in the same quarter of 2021 and 2020. More than two thirds were 80 years or older. This is reported by Statistics Netherlands (CBS) based on provisional figures on causes of death.

COVID-19 was the confirmed cause of death in 3.7 percent of nearly 40 thousand deaths in the third quarter. In July, 700 people died from COVID-19, in August 480 and in September 288.

Mortality due to COVID-19, quarterly
jaarkwartaal80 yrs and over (persons)65-79 yrs (persons)0-64 yrs (persons)
2020Q11318764128
2020Q253652174433
2020Q341014344
2020Q463342611449
2021*Q156172584493
2021*Q29081319384
2021*Q3541294135
2021*Q448442062427
2022*Q122231077275
2022*Q295039292
2022*Q3101837377
* Provisional figures

COVID-19 mortality relatively higher among long-term care users

In the third quarter of 2022, COVID-19 was the confirmed death cause in 5.4 percent of deaths among long-term care (Wlz) users, including residents of nursing homes and institutions for the disabled. Among the rest of the population, the share of COVID-19 deaths was lower compared to long-term care recipients: 2.6 percent. During mortality peaks in 2020 and 2021, the percentage of weekly COVID-19 deaths was considerably higher: between 30 and 40 percent among long-term care users, and between 20 and 30 percent among the rest of the population.

COVID-19 mortality relative to total mortality, quarterly
JaarKwartaalLong-term care recipients (%)Rest of the population (%)
2020Q15.35.0
2020Q229.311.1
2020Q33.00.9
2020Q429.214.5
2021*Q126.215.1
2021*Q23.38.5
2021*Q33.02.3
2021*Q419.212.3
2022*Q110.86.9
2022*Q25.02.6
2022*Q35.42.6
* Provisional figures

Excess mortality and COVID-19 mortality

There was excess mortality in the third quarter of 2022: in almost each week, more people died than expected for this period. Only in the second week of September was there no excess mortality. The number of excess deaths was slightly higher than the number of COVID-19 deaths in the third quarter, just as in the second quarter. Mortality was higher than expected in the fourth quarter as well. During that period, there was also a flu epidemic in the Netherlands; however, the causes of death of those who died in this period will not be known until later.

Weekly mortality*
   DeathsExpected mortalityExpected mortality (95% interval)Non-COVID-19 deaths
20201310332772908 – 36453103
20202336433112930 – 36923364
20203315733442945 – 37423157
20204304633923008 – 37763046
20205316434073027 – 37883164
20206319634012979 – 38233196
20207319834082916 – 39013198
20208295933872851 – 39222959
20209309833522805 – 38983098
202010310733152785 – 38453102
202011321832532756 – 37513183
202012361431742711 – 36373202
202013445831042703 – 35053208
202014508530242712 – 33373164
202015498129572719 – 31953004
202016430829152711 – 31202839
202017391128692677 – 30602816
202018338228412650 – 30322715
202019299028212633 – 30092555
202020277727942626 – 29622494
202021276927702620 – 29202552
202022273327532608 – 28982584
202023268127352591 – 28802574
202024269027372600 – 28752624
202025269527252594 – 28552646
202026266027172577 – 28572626
202027263727232544 – 29022605
202028261927192515 – 29232594
202029252927202507 – 29342521
202030267227072515 – 29002654
202031266626872492 – 28822644
202032264126822483 – 28812613
202033321126692481 – 28573159
202034285426632510 – 28152806
202035273626672526 – 28072705
202036269326762549 – 28042666
202037274126982564 – 28322709
202038272227292585 – 28732655
202039289127522618 – 28862752
202040300027862628 – 29432805
202041302428072655 – 29602755
202042322028392677 – 30012786
202043344928622661 – 30632806
202044368728892683 – 30952831
202045358929022692 – 31112695
202046358129322710 – 31552799
202047333529722742 – 32022667
202048340430122762 – 32632752
202049352930372742 – 33322915
202050361531002800 – 33992918
202051391131662830 – 35012969
202052386732222871 – 35732743
202053410432662906 – 36252913
20211414333092940 – 36772998
20212385033432962 – 37242824
20213386333762978 – 37752880
20214371534253040 – 38092893
20215365434403060 – 38212920
20216355334343012 – 38562862
20217352934412949 – 39342877
20218320634202884 – 39552704
20219310433842838 – 39312681
202110324633472817 – 38772861
202111304232852787 – 37822690
202112304632052742 – 36682711
202113317731342733 – 35352812
202114316430542741 – 33662834
202115314129862748 – 32242797
202116314429442739 – 31482843
202117312228972705 – 30882804
202118300628692677 – 30602724
202119301928492660 – 30372776
202120298828212653 – 29892798
202121280627972646 – 29472691
202122301127802635 – 29252895
202123288227622617 – 29062818
202124287027642627 – 29012819
202125267427512620 – 28822647
202126279127432603 – 28832768
202127283827502571 – 29292817
202128287327452541 – 29492854
202129277827472534 – 29602710
202130291327342541 – 29262841
202131296027132518 – 29082851
202132284027082509 – 29072738
202133289826952507 – 28832805
202134292626882535 – 28412820
202135286326932552 – 28332776
202136309027022575 – 28292997
202137292327242590 – 28582829
202138288827552612 – 28992827
202139307127782644 – 29123011
202140307328132655 – 29702997
202141306428352682 – 29872961
202142327428662705 – 30283103
202143338928892688 – 30903092
202144351829172711 – 31233111
202145379429302720 – 31393235
202146399929602738 – 31833177
202147419430012771 – 32313171
202148439130422791 – 32923315
202149437830662771 – 33613331
202150405931302830 – 34293283
202151377131962861 – 35313177
202152367932532902 – 36053268
20221343533212953 – 36903140
20222315733562975 – 37372932
20223319233902991 – 37883013
20224320234383054 – 38223016
20225328634543073 – 38353047
20226325434473025 – 38702980
20227337834552963 – 39473089
20228335134332898 – 39693100
20229323333972851 – 39442998
202210338733602830 – 38903074
202211360332982800 – 37953195
202212363132172754 – 36803243
202213356531462745 – 35473229
202214357530662753 – 33783287
202215351529972759 – 32353288
202216323529552751 – 31593068
202217314129082716 – 31003026
202218312928802689 – 30713058
202219312728602672 – 30483067
202220305728322664 – 30003004
202221292328082657 – 29582882
202222296227912645 – 29362933
202223294327732628 – 29172914
202224301227752637 – 29122939
202225313627622631 – 28933068
202226310227542614 – 28942951
202227297327602581 – 29402869
202228308927562552 – 29602933
202229318927582544 – 29713005
202230313327442552 – 29372950
202231295927242529 – 29182816
202232298527192520 – 29182856
202233307727052518 – 28932977
202234303926992546 – 28522956
202235296427032563 – 28432901
202236293727132586 – 28402867
202237281827352601 – 28692762
202238301627662622 – 29102960
202239319927892655 – 29233105
202240330728242666 – 2981
202241330828462693 – 2998
202242336528782716 – 3039
202243330629012700 – 3102
202244322629282722 – 3134
202245317029412732 – 3151
202246320629722749 – 3195
202247340430132783 – 3243
202248342530542803 – 3304
202249360530782783 – 3373
202250398531422842 – 3442
202251418032092874 – 3544
* 2022 provisional figures. COVID-19 mortality known up to September 2022 inclusive.

Other causes of death show no major differences

COVID-19 was the confirmed cause of death in 3.7 percent of nearly 40 thousand deaths in the third quarter. In other cause-of-death categories, mortality was largely similar to that in the third quarter of previous years. Mortality from cardiovascular diseases (CVD) was slightly lower than one year previously. Mortality from non-natural causes of death was higher, mainly due to an increase in the number of deaths from accidental falls. The main causes of death are neoplasms (including cancer) and CVD.

Mortality by cause-of-death category, quarterly
jaarKwartaalNeoplasms (x 1,000)Cardiovascular diseases (x 1,000)Mental disorders and diseases
of the nervous system (x 1,000)
Respiratory diseases (x 1,000)Non-natural causes of death (x 1,000)COVID-19 (x 1,000)
2018Q112.03711.2756.8496.1502.269
2018Q211.3938.7374.7742.7892.029
2018Q311.4288.2315.2772.2602.086
2018Q411.7999.5525.0902.8452.247
2019Q111.86710.0435.8324.1752.224
2019Q211.5299.0015.1862.9612.059
2019Q311.6918.5055.1342.2692.103
2019Q411.9039.9925.3993.2192.288
2020Q112.07710.2625.6793.9632.3292.210
2020Q211.3968.6034.7162.2382.1827.972
2020Q311.8468.3134.9102.1102.2410.597
2020Q411.7709.4444.7642.1922.2789.394
2021*Q111.3099.5034.5592.2162.2608.694
2021*Q211.7268.9424.7462.2482.2352.611
2021*Q311.8998.6895.1142.4822.2240.970
2021*Q412.17310.3125.6313.1732.5477.333
2022*Q111.6309.9925.0582.9612.5163.575
2022*Q211.5149.5715.2063.5052.5461.434
2022*Q311.7858.4765.3952.4442.5391.468
* Provisional figures

COVID-19 mortality figures

Figures on causes of death are based on the cause-of-death certificates completed by an attending medical practitioner. These figures are processed by CBS and published after four months. The National Institute for Public Health and the Environment (RIVM) and the Dutch government report the number of COVID-19 deaths on a weekly basis. This number is lower than what is published by CBS on the basis of registered death causes. The reason for this is that there is no obligation to report COVID-19 deaths to RIVM. It is also possible that a medical practitioner establishes COVID-19 as the cause of death on the basis of the clinical picture without laboratory testing. CBS publishes weekly mortality figures, before any information is known on the causes of death.

From March 2020 to 30 September 2022 inclusive (as at 23 January 2023), RIVM reported 22,675 COVID-19 deaths based on data received from the municipal health services (GGD). In the same period, based on cause-of-death certificates, CBS registered 46,258 deaths due to confirmed or suspected COVID-19.