Regional patterns of excess mortality in Germany during the COVID-19 pandemic: a state-level analysis

URN to cite this document:: urn:nbn:de:bvb:355-epub-782180
DOI to cite this document:: 10.5283/epub.78218

Kuhbandner, Christof ; Reitzner, Matthias

License: Creative Commons Attribution 4.0
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Date of publication of this fulltext: 25 Nov 2025 10:09

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Abstract

This study used a rigorous actuarial approach to estimate excess mortality across German federal states during the first three years of the COVID-19 pandemic. Regional trends were analysed alongside associations with state-level indicators: reported COVID-19 deaths and infections, policy stringency, vaccination rates, demographic and socioeconomic factors. Average excess mortality was moderate in ...