Town by Town

Removed from Book per advice from Rich - Good advice

The chapter below was removed from my upcoming book. It just doesn’t fit.

Pardon the lack of context that would come from the first eleven chapters, but the reader should be able to follow along.

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Chapter 12 (not anymore)

Town by Town

This chapter is an intermediate step and introduction to data, but on a town-by-town level. Only with record-level source data (RLSD) can one dive deeply into variables to learn what is truly happening. RLSD is kept from The People when the CDC provides de-identified and bundled data.

An interesting aspect of the covid era is explored in towns along a state highway, Route 109, emanating from the Boston border at the Hub (Interstate 95, Route 128) and radiating out past the Rim (Interstate 495).

I thought it would be interesting to look at covid rates from the border of a city going through lesser densely populated suburbs. The cities/towns explored in order from east to west are: Dedham, Westwood, Walpole, Dover, Medfield, Millis, Medway, Milford, and Mendon.

Because the numbers in each town are low, individual records can be inspected in a reasonable timeframe to depict small data models.

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Dedham, Massachusetts comprises ~25,400 residents and ~2,400 people/sqmi.

Westwood, Massachusetts comprises ~16,300 residents and ~1,500 people/sqmi.

Walpole, Massachusetts comprises ~26,400 residents and ~1,300 people/sqmi.

Dover, Massachusetts comprises ~5,900 residents and ~400 people/sqmi.

Medfield, Massachusetts comprises ~12,800 residents and ~900 people/sqmi.

Millis, Massachusetts comprises ~8,500 residents and ~700 people/sqmi.

Medway, Massachusetts comprises ~13,100 residents and ~1,100 people/sqmi.

Milford, Massachusetts comprises ~30,000 residents and ~2,000 people/sqmi.

Mendon, Massachusetts comprises ~6,200 residents and ~300 people/sqmi.

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Deaths involving U07.1 “COVID-19” are depicted in the following graphic for each of the nine towns listed above.

Anomalies always catch my eye first. Which one town among the nine does not look like the others?

Millis, Massachusetts is the only town that purports more covid-involved deaths in 2022 than 2020. Let’s look at the individual records in both years.

The 2020 ages and genders of Millis, MA U07.1 “COVID-19” involved deaths are {86F, 87M, 58M, 91M, 98F, 88M}.

The 86F Death Certificate states Cause A is “CARDIORESPIRATORY FAILURE,” Cause B is “SEPSIS,” and Part II Conditions Contributing is “PRESUMED 2019 CORONA VIRUS INFECTION.”

The next three are pneumonia and the last two are respiratory failure. Thus, five of these are “J” codes, which means respiratory diseases.

The 2022 ages and genders of Millis, MA U07.1 “COVID-19” involved deaths are {69M, 74M, 75F, 91M, 89M, 89F, 52M}.

The Causes of death for each of the decedents are as follows:

69M Cause A is “METABOLIC ACIDOSIS,” Cause B is “INFARCTION OF GASTROINTESTINAL TRACT,” and Conditions Contributing are “COVID-19, SEPSIS, DEMENTIA.” An infarction occurs when tissue dies from lack of oxygenated blood due to an obstruction such as a clot.

74M Cause A is “ACUTE KIDNEY INJURY,” Cause B is “DELIRIUM,” Cause C is “DEMENTIA,” and Conditions Contributing is “RECENT COVID-19 INFECTION.” N17.9 Acute renal failure is one of the largest single increase codes accounting for thousands of excess deaths in Massachusetts since October 22, 2020, at which time Remdesivir was approved for those ages 12yo and older.

75F Cause A is “SEPSIS” and Cause B is “COVID-19.”

91M Cause A is “CONGESTIVE HEART FAILURE,” Cause B is “CORONARY ARTERY DISEASE,” and Contributing Conditions are “DEMENTIA, COVID.”

89M Cause A is “ACUTE RESPIRATORY FAILURE,” Cause B is “PULMONARY EMBOLISM,” and Cause C is “COVID-19 INFECTION.” Pulmonary embolism is a clot in the lungs, which would cause the acute respiratory failure.

89F Cause A is “CARDIAC ARREST,” Cause B is “RESPIRATORY DISTRESS,” and Cause C is “COVID-19.”

52M Cause A is “ASYSTOLE,” Cause B is “BRAIN HERNIATION,” Cause C is “ISCHEMIC STROKE,” and Conditions Contributing are “ALCOHOL USE; COVID 19; HYPERTENSION; TYPE 2 DIABETES.”

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SUMMARY

Of the six covid-involved deaths in Millis in 2020, five are clearly pneumonia and other respiratory causes.

Of the seven covid-involved deaths in Millis in 2022, three are clots involved in stroke, gastrointestinal, and lungs, one is heart failure with heart disease, one is sepsis blood poisoning, one is sudden kidney failure, and one is that the heart stopped likely due to respiratory distress with covid, which is the only one involving “J” codes for respiratory diseases.

Thus, 2020 was a year of 5 of 6 covid-involved deaths clearly respiratory and 2022 was a year of 6 of 7 covid-involved deaths clearly blood and organ damage, and only one was respiratory.

How does a disease change how it kills people so starkly even in such a small dataset?

Something changed in what constitutes a covid death. Many of the deaths in 2022 in Millis are classic clot deaths from covid vaccines, not respiratory issues such as pneumonia from covid per se.

A quick perusal of the Milford, MA 2020 and 2022 purported covid-involved deaths shows mostly respiratory causes for both years. There was no switch over. The pattern in Milford, MA depicts fewer covid involved deaths in 2022 than in 2020, consistent with expectations from all other towns except Millis.

Dedham, MA is also consistent with expectations of being mostly respiratory in both years. However, there are a few suspect deaths for stroke, heart, and kidney failure that are deemed covid deaths in 2022 in ages that are covid-vaccinated to a percentage of high 90’s%.

The aberration of Millis, MA in total covid involved deaths from 2020 to 2022 is accompanied by the aberration of causes of death shifting starkly from respiratory to circulatory. Something is amiss.

Thus closes PARS DUO on a theme traversing cases and data analyses.