Cold weather and an aggressive strain of the flu virus have led to unusually high death rates in January, figures show.
There were 28,800 deaths registered in England and Wales in the fortnight ending 23 January – a 32% increase on the average number of deaths in this period over the previous five years.
Even when the time of year is accounted for, mortality rates among the over-65s have been higher than expected for the past six weeks, according to the Office for National Statistics.
Dr Richard Pebody of Public Health England said: "In recent weeks, we have seen evidence of significant excess mortality.
"Two important causes of excess deaths during the winter are influenza and cold snaps, although estimating exactly how much can be attributed to each takes more time.
"The main type of flu that has been circulating this winter so far is well recognised to particularly impact groups such as the elderly and those with underlying chronic health problems – resulting in increases in hospitalisations and deaths.
"That is why we recommend these groups receive flu vaccines each year – ideally before the flu season starts."
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