Table 2.
Infection fatality ratio (IFR) and numbers of SARS-CoV-2 infections by age, sex, ethnicity.
| Category | Population size (000s) | SARS-CoV-2 antibody prevalence % [95% CI]a | Confirmed COVID-19 deaths | Infection fatality ratio % [95% CI]b | Estimated number of infections (000s) [95% CI] |
|---|---|---|---|---|---|
| (a) IFR and total infections overall and by age and sex (excluding care home deaths) | |||||
| Total | 56,287 | 5.96 [5.70, 6.75] | 30,180 | 0.90 [0.86, 0.94] | 3362 [3217; 3507] |
| Sex | |||||
| Male | 27,828 | 6.17 [5.76, 6.59] | 18,575 | 1.07 [1.00, 1.15] | 1730 [1615; 1845] |
| Female | 28,459 | 5.75 [5.42, 6.09] | 11,600 | 0.71 [0.67, 0.75] | 1634 [1540; 1728] |
| Age | |||||
| 15–44 | 21,335 | 7.20 [6.73, 7.66] | 524 | 0.03 [0.03, 0.04] | 1536 [1437; 1635] |
| 45–64 | 14,406 | 6.18 [5.78, 6.58] | 4657 | 0.52 [0.49, 0.55] | 895 [837; 953] |
| 65–74 | 5576 | 3.16 [2.67, 3.66] | 5663 | 3.13 [2.65, 3.61] | 181 [153; 209] |
| 75+ | 4778 | 3.30 [2.53, 4.08] | 19,330 | 11.64 [9.22, 14.06] | 166 [131; 201] |
| (b) IFR and total infections by ethnicity, age and sex (including care home deathsc) | |||||
| Female <65 | |||||
| White | 19,624 | 5.53 [5.17, 5.88] | 1252 | 0.12 [0.11, 0.12] | 1086 [1017, 1154] |
| Asian | 2057 | 11.03 [8.94. 13.12] | 255 | 0.11 [0.09, 0.13] | 227 [184, 270] |
| Black | 951 | 17.76 [12.82,22.70] | 206 | 0.12 [0.09, 0.16] | 169 [122, 216] |
| Female 65+ | |||||
| White | 4885 | 3.22 [2.56, 3.88] | 18,315 | 10.44 [8.52, 12.36] | 175 [143, 208] |
| Asian | 130 | 5.60 [0, 12.64] | 852 | 10.51 [1.10, 19.91] | 8 [1, 15] |
| Black | 66 | 10.44 [0, 24.68] | 530 | 7.10 [0.50, 13.69] | 7 [1, 14] |
| Male <65 | |||||
| White | 19,694 | 5.75 [5.32, 6.19] | 2071 | 0.18 [0.17, 0.20] | 1135 [1050, 1221] |
| Asian | 2091 | 13.72 [10.71, 16.74] | 545 | 0.19 [0.15, 0.23] | 287 [224, 351] |
| Black | 888 | 18.43 [13.00, 23.86] | 333 | 0.20 [0.14, 0.26] | 164 [116, 212] |
| Male 65+ | |||||
| White | 3875 | 2.68 [2.08, 3.29] | 21,383 | 17.05 [13.84, 20.26] | 125 [102, 149] |
| Asian | 121 | 4.55 [0, 9.22] | 1361 | 19.79 [3.92, 35.67] | 7 [1, 12] |
| Black | 55 | 7.60 [0, 19.48] | 867 | 17.13 [2.93, 31.33] | 5 [1, 9] |
aEstimates of prevalence adjusted for imperfect test sensitivity and specificity, and re-weighted to account for sample design and for variation in response rate (age, sex, ethnicity and deprivation) to be representative of the England population (18+ years).
bInfection fatality ratios in (a) were calculated excluding care home residents and based on confirmed COVID-19 death counts obtained from Public Health England38. Infection fatality ratios in (b) included deaths in care home residents up to 17 July 2020 obtained from Office for National Statistics41,42.
cDeaths by ethnicity only available including care home residents. The proportions of the population and COVID-19 deaths by ethnicity, age and sex were applied to the current total population of England and the total deaths with COVID-19 on the death certificate up to 17 July 2020. The data sources used are as follows: Population proportions by ethnicity43; COVID deaths by ethnicity38; 2011 population by ethnicity, age, sex44; COVID deaths by ethnicity, age, sex45.