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Recognition of Italian citizenship by descent

We would like to use cookies to collect information about how you use ons. We use this information to make the website work as well as possible and improve our services. You can change your cookie settings at any time. Updated estimates of mortality involving the coronavirus COVID by ethnic group and investigation of the explanatory power of hospital-based comorbidity on ethnic differences, building on previous models published by the Office for National Statistics.

Contact: Chris White and Daniel Ayoubkhani. Release date: 16 October Print this Article. Download as PDF. Considering deaths up to 28 July , males and females of Black and South Asian ethnic background were shown to have increased risks of death involving the coronavirus COVID compared with those of White ethnic background; this is similar to our previous findings for deaths up to 15 May All ethnic minority groups other than Chinese had a higher rate than the White ethnic population for both males and females.

In England, people of South Asian ethnic background had a higher prevalence of cardiovascular diseases and diabetes using hospital data , which are associated with increased COVID mortality, while those of Chinese background had the lowest prevalence. In England, based on a statistical model adjusting for age and excluding care home residents, the rate of death among Black African males was 3. Taking into account geography, socio-economic characteristics and health measures, including pre-existing conditions, males of Black African background retained a 2.

For males, all ethnic minority groups other than Chinese retained a raised rate of COVID mortality following adjustments; for females, all other than Bangladeshi, Chinese and Mixed ethnic groups retained a raised rate of COVID mortality following adjustments. Looking separately at the care home population, males of Asian ethnic background and females of Black and Asian ethnic backgrounds using broader ethnic groupings also had a raised rate of death involving COVID compared with people of White ethnic background after taking account of geography and health measures.

These findings show that ethnic differences in mortality involving COVID are most strongly associated with demographic and socio-economic factors, such as place of residence and occupational exposures, and cannot be explained by pre-existing health conditions using hospital data or self-reported health status.

It also found that although specific pre-existing conditions place people at greater risk of COVID mortality generally, it does not explain the remaining ethnic background differences in mortality. The Office for National Statistics ONS previously published analysis of deaths involving the coronavirus COVID by ethnic group taking account of demographic, social and geographic characteristics also associated with risk of infection and death.

In this article, we extend the analyses to encompass measures of comorbidity pre-existing health conditions retrieved from hospital records during the past three years. This article presents provisional analyses of deaths involving COVID by ethnic group for England and Wales; the modelling of these deaths and the use of hospital data is restricted to England only. The breakdown of ethnic group used in this article was guided by the number of deaths available for analysis, following the data linkage, and their distribution across ethnic groups.

Table 1. Ethnic breakdowns and percentage of study population. Previous research has shown that people with certain pre-existing health conditions are at greater risk of death involving COVID A higher prevalence of diabetes was observed in minority 2 ethnic groups, but there was a lower prevalence of chronic heart disease and dementia than those of White ethnic background. Given the links between comorbidity and deaths involving COVID, the possibility has to be considered that the distribution of certain pre-existing health conditions across ethnic groups might account for the disparities in COVID mortality between ethnic groups that were previously observed even after adjusting for geographic, demographic and socioeconomic factors.

To investigate this, our analysis uses data from NHS hospital episode statistics HES to show how having a hospital contact in the past three years for each of a list of relevant health conditions affects the risk of death involving COVID It is important to note that this article does not discuss risk of infection directly. Of these, 47, In Figures 1 and 2, we update the age-standardised rates of death involving COVID by ethnic background for males and females respectively to 28 July.

This is to establish whether ethnic disparities and their extent found previously have persisted as more data have accrued, which forms the baseline for explaining differences presented in the following modelling section. Other ethnic group encompasses Asian other, Black other, Arab and Other ethnic group categories in the classification. Non-overlapping error bars denote a statistically significant difference in rates of death.

In England and Wales, males of Black African, Black Caribbean and Bangladeshi ethnic background had the highest rates of death involving COVID, all exceeding deaths per , and significantly higher than all other ethnic groups. We combined Pakistani and Bangladeshi groups in our previous release , but these new estimates show the latter had a significantly higher risk of COVID mortality.

Males of White ethnic background continued to have the lowest rate at Males of Black African ethnic background had a rate of death 2. For females, the White ethnic group also had the lowest rate at Females of Black Caribbean ethnic background had the highest rate Rates of death at ages 9 to 64 years and 65 years and over separately are included in the dataset accompanying this release.

The figures reported here demonstrate that the higher rates among people of Black and Asian ethnic backgrounds previously reported have persisted with only minimal change in the magnitude of differences to those of White ethnic background. For example, in our last publication males of Black ethnic background had a rate of death involving COVID that was 2.

This section examines the association between hospital-based comorbidity in the previous three years and deaths involving the coronavirus COVID as well as whether the distribution of selected pre-existing conditions treated in hospital differs by ethnic groups. We used three years of NHS hospital episode statistics HES data 1 to retrieve patient diagnostic information needed to calculate prevalence rates in this analysis.

The information within these datasets is at patient episode level each period of care under a consultant and covers admitted patient care, out-patients and Accident and Emergency. To preserve all information when linking on to the Census and deaths data, we created a single person-level dataset, containing the necessary diagnostic information for analysis available in episodes of care records.

We grouped a set of pre-existing health conditions previously implicated as raising risk of death from COVID into broad categories mostly aligned to the International Classification of Diseases, tenth revision ICD , shown in Table 2 with the specific ICD codes contained within the broad categories. Table 2. Pre-existing health conditions included in the analyses. We investigated whether the risk of death involving COVID differed across the groups of conditions listed in Table 2 and whether the populations with a history of these conditions were at greater risk than those not having them on their hospital record or having no hospital contact in the past three years.

This analysis is based on 44, linked deaths occurring to residents in England during the period 2 March to 28 July We find having hospital contact in the past three years and having one or more of the conditions listed in Table 2 is associated with substantially raised risk of COVID mortality compared with those either without hospital contact or with hospital contact but without any of the conditions in Table 2 mentioned on their hospital record.

The rates of COVID mortality by these health condition groupings are available in the dataset accompanying this release. Differential prevalence of these conditions across ethnic groups could be a potential mediator of the relationship between ethnic group and death involving COVID reported earlier.

We compared the prevalence of our selected condition groupings across ethnic groups by sex Figure 3. Our prevalence rates are age-adjusted to account for differences in the age structure of the ethnic groups examined. For females, those of Bangladeshi, Pakistani and Black Caribbean ethnic background had significantly higher prevalence than all other ethnic groups. For cardiovascular diseases where prevalence was generally greatest and metabolic disorders diabetes , males and females of Bangladeshi and Pakistani ethnic background had statistically significant higher prevalence rates than all other ethnic groups.

Figure 3 shows prevalence rates of these health conditions are uneven between ethnic groups and therefore it is appropriate to treat disease prevalence as a potential confounder of the relationship between ethnic group and risk of death involving COVID In this section, we explore associations between ethnicity and coronavirus COVID mortality rates in more detail using adjustment models, to examine the impact of comorbidities on ethnic group differences in the rates of death involving the coronavirus COVID reported in Section 3: Age-standardised rates of death involving COVID by ethnic group.

We use Cox proportional hazards regression models to estimate how differences in the risk of death involving COVID change when adjusting for a range of factors affecting both the risk of infection and the risk of death if infected. This approach helps us understand which factors drive the differences in mortality across ethnic groups. In our baseline model, we present hazard ratios adjusted only for age. We then adjust for factors likely to affect the risk of infection mostly but also the risk of having a pre-existing existing condition too and therefore prognosis.

Estimates of COVID infection rates by ethnic group are available from the ONS COVID Infection Survey , but the small number of participants testing positive for antibodies in some ethnic groups means that the estimates are imprecise, with wide confidence intervals reflecting considerable uncertainty.

First, we adjust for geographic factors, such as location of residence and population density. Most of these characteristics were retrieved from the Census. We adjust for self-reported health and the presence of activity limitation because of a long-standing health condition, as reported in the Census. We also use data from hospital episode statistics HES , as described earlier, to identify individuals who had hospital contact for a range of conditions, including cardiovascular diseases, cancer, respiratory problems and mental health conditions.

More details can be found in the technical appendix. The modelling analysis is based on those that were enumerated in private households at the Census, as only private household enumerations had the entirety of the socio-demographic and household characteristics used in the modelling of mortality risk. We exclude people who were identified as living outside England or in a care home in according to the Patient Register. This means deaths occurring to care home residents will be mostly excluded in this part of the analyses, which has a greater focus on community deaths.

The number of deaths involving COVID used in this section amounted to 31,; therefore, measures of effect may vary from what was presented in Section 3: Age-standardised rates of death involving COVID by ethnic group where all linked deaths were used across England and Wales.

Section 6: Risk of death involving COVID between ethnic groups among people living in care homes in England focuses on people living in a care home.

In Figure 4, we report the hazard ratios 1 for each ethnic minority group relative to the White ethnic group, after adjusting for age, plus geography, plus socio-economic factors, plus self-reported health or disability and hospital comorbidities. After adjusting for age, males and females from all ethnic minority groups except females of Chinese ethnic background were at greater risk of death involving COVID than the White ethnic group. The rate of death was also notably greater for people of Bangladeshi, Black Caribbean or Pakistani ethnic background than the White population, with hazard ratios of 3.

The results for the Black African, Black Caribbean, Bangladeshi and Pakistani ethnic groups are not comparable with those reported in our previous publication , when rates of death involving COVID up until 15 May were included in the study, because of differences in ethnic grouping structure. However, results for the other ethnic groups are broadly comparable with those in the previous publication, suggesting little change in the age-adjusted risk profile of COVID mortality by ethnicity.

The second and third set of bars in Figure 4 show estimates of differences in the risk of death after further adjusting for geography local authority and population density and demographic and socio-economic characteristics area deprivation, household deprivation, socio-economic position, household composition, living arrangements with regard to multigenerational households, and measures of occupational exposure to the disease including key worker status and exposure to others respectively.

More information on how the hazard ratios change when adjusting for different sets of characteristics and diagnostics for the various models can be found in the technical appendix.

Model diagnostics can be found in the dataset accompanying this article. These adjustments for geography and socio-economic factors make a sizable contribution to the reduction in estimated risk of death involving COVID for ethnic minority groups relative to the White population, but significant differences remain.

In addition, males of Chinese ethnic background were no longer at significantly greater risk of COVID mortality than White males, though significant excess risk remained for all other minority ethnic groups.

Adjusting for geographic and socio-economic factors reduces the size of the hazard ratios between ethnic minority groups and the White ethnic group more so for females than males. Females from Bangladeshi, Chinese and Mixed ethnic backgrounds were no longer at significantly greater COVID mortality risk than White females following adjustments.

However, risk remained significantly elevated for all other groups, with the hazard ratios being greatest for females of Black African, Pakistani or Black Caribbean ethnic background 1. Further adjusting for self-reported health and disability status in and hospital-based comorbidities since , as shown in blue in Figure 4, does not substantially change the COVID mortality risk profile for either males or females, and their effect is differential in terms of the direction of change.

Hazards for ethnic minority groups that were statistically significantly different from that for the White population after adjusting for socio-economic factors remain so after further adjusting for measures of health.

However, there are notable decreases in the hazard ratios for people of Bangladeshi or Pakistani ethnic background 1. Conversely, there are notable increases in the hazard ratios for people of Black African or Chinese ethnic background 2. These changes in relative mortality rates reflect differences in the prevalence of comorbidities that are associated with COVID mortality risk between each of the ethnic minority groups and the White population, as discussed in Section 4: Hospital-based pre-existing conditions by ethnic group.

Our results confirm statistically significant raised rates of death remain for males and females of Black African, Black Caribbean, Indian, Pakistani and Other ethnic groups after taking account of pre-existing health conditions in addition to the previously investigated factors. While there is clear evidence of a relationship between hospital contact in the past three years with a discrete set of health conditions specified in Section 4: Hospital-based pre-existing conditions by ethnic group , and some imbalance in the prevalence of these conditions across ethnic groups, hospital-based comorbidity was unable to explain away the differences observed in age-adjusted models for most ethnic groups.

To gain a better understanding of the differences in risk of death involving COVID across ethnic groups, we also investigate whether these differences are more marked in some demographic and socio-economic groups than others full results can be found in the dataset accompanying this release. We estimate separate Cox proportional hazard models for different population components. First, we examine whether the differences in rates of death involving COVID vary across age groups focusing on people aged under 70 years and people aged 70 years and over.

We find the magnitude of the relationship between COVID mortality and ethnic group is different across age groups.


Requirements for the Retention & Re-Acquisition of Philippine Citizenship

A fifth group, the Ijaw, has been growing in population and influence and currently makes up another 10 percent. Though the groups originated in different parts of West Africa, religion, intermarriage and adoption of the Hausa language by the Fulani have unified the groups over time. In contemporary Nigerian society, they are often referred to collectively as Hausa-Fulani. Islam is a key component of their ethnic identity and continues to inform their role in modern Nigerian society and politics. Their culture is deeply patriarchal and patrilineal.

Living in secrecy. Although they rely on him, the police know little about L – his nationality, his last name, or even what he looks like.

Births, deaths, marriages, civil partnership and citizenship

Book your appointment. You DO NOT need to call us to book your appointment, instead you can simply use our online booking form. Please note: once you have booked online, you will be sent confirmation of your appointment via text or email with a reminder of any documentation you will need to bring for the appointment. As well as booking appointments, you will be able to make payments in advance for services and any certificates you require. You will also be able to cancel and rebook appointments without the need to call using the link provided in the email and text. If you wish to marry in England or Wales you may do so either by civil or religious ceremony. Fees and charges information for births, deaths, marriages, citizenship and cemeteries. Babies born within the borough of Hounslow must be registered with us within 42 days of the baby's birth by the parents. A death that occurred in the London Borough of Hounslow must be registered within five days unless it has been referred to the coroner.

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Race and ethnicity are risk markers for other underlying conditions that affect health, including socioeconomic status, access to health care, and exposure to the virus related to occupation, e. Note: Adjusting by age is important because risk of infection, hospitalization, and death is different by age, and age distribution differs by racial and ethnic group. If the effect of age is not accounted for, racial and ethnic disparities can be underestimated or overestimated. Numbers are ratios of age-adjusted rates standardized to the U. Hospitalization rates are likely underestimated link.

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It is however consistent for those seeking multiple nationality, such as a third or fourth nationality. There is no uniform rule of international law relating to the acquisition of nationality. It is prudent to check with authorities of the country to see if dual nationality is permissible under local law. The U. Government recognizes and permits Americans to have other nationalities; however they also recognize the problems which it may cause, and therefore does not encourage it as a matter of policy. Claims of other countries upon dual-national U. In addition, dual nationality may hamper our efforts to provide U. Dual nationality can occur as the result of a variety of circumstances.

A second ransom note was received by Colonel Lindbergh on March 6, , worn at the time of the kidnapping, near the entrance to the estate.

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Law enforcement officers work at the scene where migrants were found dead inside a trailer truck in San Antonio, Texas, U. June 28, If convicted each man faces a maximum sentence of life in prison, or possibly the death penalty, the U. Justice Department said in announcing charges stemming from the deadliest migrant-trafficking incident on record in the United States.

The amiable Polynesian harpooner contributes significantly to the themes of friendship and diversity in the novel. Although Queequeg is a heathen, by Christian definition, Ishmael increasingly notices the man's independent dignity, good heart, extraordinary courage, and generous spirit. Queequeg's body is covered with tattoos, and Ishmael initially assumes that the aborigine must be a cannibal. He soon learns that his new friend is one of the most civilized men that he has ever met.

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But brace yourself: The process of obtaining dual citizenship can be quite tedious, fraught with red tape and byzantine rules. If you can dig up the birth certificates and other required documentation that proves your family ties are legitimate, and you are willing to pony up the administration fees, you could be looking at dual citizenship between six months to three years—which is still far more expedient than if you were to seek citizenship through naturalization. Nearly 10 percent of the U. Qualifying candidates must have at least one parent or grandparent with Irish citizenship, though in some cases a great-grandparent born on the Emerald Isle could be workable. The first step to acquiring Irish citizenship is to file with the Foreign Birth Registration , a process that typically takes between 12 and 18 months. Note: Processing of applications has been temporarily suspended due to COVID, so expect that timeline to be drawn out further in the near future. Learn more here.

He is an enigmatic, mysterious, and highly-esteemed international consulting detective whose true identity and background is kept a secret. Throughout the series, he observes and spies on the activities of the series' protagonist, Light Yagami , a high school genius. L attempts to expose Light as the infamous serial killer " Kira ", who is responsible for massacring high-profile criminals worldwide through apparently supernatural means.

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  1. Faemi

    It's a pity that I can't speak now - I'm late for the meeting. But I will return - I will definitely write what I think on this issue.

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