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This is consistent with covid-spike injury, which would likely affect men more than women, given that men also die from covid at higher rates than women. This could be related to red-blood-cell density, which is higher in men than in women, likely making men more vulnerable to clotting issues. Be interesting to have more data: is this male/female discrepancy new to covid, or has it been the case prior to 2020?

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One possibility for reduced deaths in 0..4 is reduced uptake of childhood vaccines. https://vaxopedia.org/2020/06/22/has-sids-decreased-during-the-covid-19-pandemic/

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