Gaps Between Official and Excess COVID-19 Mortality Measures: The Effects of Institutional Quality and Vaccinations

Working Paper: NBER ID: w29778

Authors: Joshua Aizenman; Alex Cukierman; Yothin Jinjarak; Sameer Nair; Desai; Weining Xin

Abstract: We evaluate quartile rankings of countries during the Covid-19 pandemic using both official (confirmed) and excess mortality data. By December 2021, the quartile rankings of three-fifths of the countries differ when ranked by excess vs. official mortality. Countries that are ‘doing substantially better’ in the excess mortality are characterized by higher urban population shares; higher GDP/Capita; and higher scores on institutional and policy variables. We perform two regressions in which the ratio of Cumulative Excess to Official Covid-19 mortalities (E/O ratio) is regressed on covariates. In a narrow study, controlling for GDP/Capita and vaccination rates, by December 2021 the E/O ratio was smaller in countries with higher vaccination rates. In a broad study, adding institutional and policy variables, the E/O ratio was smaller in countries with higher degree of voice and accountability. The arrival of vaccines in 2021 and voice and accountability had a discernible association on the E/O ratio.

Keywords: COVID-19; Mortality; Vaccination; Institutional Quality; Excess Mortality

JEL Codes: F5; F6; H12; H84; I18


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Higher vaccination rates (I19)Smaller eo ratio (R12)
Higher voice and accountability (G38)Lower eo ratio (C51)
Arrival of vaccines (I19)Smaller eo ratio (R12)
Higher vaccination rates (I19)Lower COVID-19 mortalities (I14)
Higher voice and accountability (G38)Improved mortality outcomes (I14)

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