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. 2021 Jul 31;398(10298):391–402. doi: 10.1016/S0140-6736(21)01253-8

Table 2.

Numbers and rates of loss of primary or secondary caregivers due to COVID-19-associated deaths and excess mortality from March 1, 2020, to April 30, 2021

Orphanhood*
Loss of primary caregivers
Loss of secondary caregivers (other co-residing grandparents or kin)
Loss of primary or secondary caregivers
Number Rate per 1000 children Number Rate per 1000 children Number losing a female caregiver Number losing a male caregiver Number losing two caregivers Number Rate per 1000 children
Europe
England and Wales 8495 0·6 8886 0·6 442 1118 4 10 450 0·8
France 4064 0·3 4371 0·3 204 965 2 5542 0·4
Germany 1590 0·1 1832 0·1 279 681 2 2794 0·2
Italy 3201 0·3 3568 0·4 629 1580 5 5782 0·6
Poland 3159 0·5 4097 0·6 1720 2786 14 8617 1·3
Russia 22293 0·8 29 724 1·0 12 352 14 338 100 56 514 2·0
Spain 2309 0·3 2669 0·3 1181 2119 10 5979 0·7
Americas
Argentina 13 003 1·0 14 117 1·1 1898 3474 15 19 504 1·5
Brazil 113 150 2·1 130 363 2·4 22 639 36 714 183 189 899 3·5
Colombia 29 851 2·0 33 293 2·3 5919 10 824 47 50 083 3·4
Mexico 131 325 3·3 141 132 3·5 23 544 38 682 191 203 549 5·1
Peru 92 702 9·6 98 975 10·2 11 670 25 831 96 136 572 14·1
USA 104 884 1·4 113 708 1·5 8770 14 143 71 136 692 1·8
Africa
Kenya 4312 0·2 4500 0·2 60 309 0 4869 0·2
Malawi 2233 0·2 2367 0·2 30 135 0 2532 0·3
Nigeria 3853 0·0 3947 0·0 108 431 1 4487 0·0
South Africa 82 422 4·4 94 625 5·1 12 773 11 748 96 119 242 6·4
Zimbabwe 2667 0·4 2798 0·4 55 134 0 2987 0·5
Southeast Asia
India 116 263 0·3 119 170 0·3 26 291 41 298 213 186 972 0·5
Eastern Mediterranean
Iran 40 426 1·7 40 996 1·7 3320 9836 28 54 180 2·3
Western Pacific
Philippines 6502 0·2 7227 0·2 1292 1873 10 10 402 0·3
Total of 21 included countries 788 704 .. 862 365 .. 135 176 219 019 1088 1 217 648 ..
Estimated global total (95% CrI)§ 1 042 000 (806 000–1 083 000) .. 1 134 000 (884 000–1 185 000) .. .. .. .. 1 562 000 (1 299 000–1 683 000) ..

Data are total number of children or rate per 1000 children younger than 18 years. CrI=credible interval.

*

Losing mother, father, or both.

Losing one or both parents or losing one or both skip-generation grandparents.

All estimates for these countries are based on COVID-19 deaths, due to either the unavailability of data for excess deaths, or in the case of Poland, to COVID-19 deaths being higher than excess deaths.

§

95% CrIs provide uncertainty surrounding our minimum estimate, rather than attempting to account for all sources of error.