Aloha State News

There were less than 10 deaths with COVID-19 listed as the underlying cause reported in Hawaii in the week ending July 29, making up less than 4.5% of total deaths by all causes in Hawaii, according to The Centers for Disease Control and Prevention.

In the week ending July 29, there were 221 deaths in the state. 20.8% of deaths were caused by heart disease, 17.6% were from cancer and less than 4.5% were from COVID-19. Additionally, 14% of deaths were from Alzheimer's disease and dementia.

Studies show doctors and medical examiners may underreport Alzheimer's disease and dementia-related conditions as the underlying cause of death on death certificates, according to the National Institute on Aging.

Once infected, older adults with dementia are likely to develop a more severe and dangerous illness. The diseases which make an older adult more vulnerable to COVID-19 are age-associated chronic conditions, according to the Bright Focus Foundation.

Cause of Death	Number of Deaths	% of Total Deaths
Heart disease	46	20.8
Malignant neoplasms (cancerous tumor)	39	17.6
Cerebrovascular diseases	18	8.1
Alzheimer's disease	10	4.5
Influenza and pneumonia	< 10	< 4.5
Nephritis, nephrotic syndrome and nephrosis	< 10	< 4.5
Diabetes mellitus	< 10	< 4.5
Chronic lower respiratory diseases	< 10	< 4.5
COVID-19 (underlying cause)	< 10	< 4.5
COVID-19 (multiple cause)	< 10	< 4.5

Cause of Death	Number of Deaths	% of Total Deaths
Alzheimer disease and dementia	31	14