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Mortality inequalities remain substantial in many countries, and large shocks such as pandemics could amplify them further. The unequal distribution of COVID-19 confirmed cases suggests that this is the case. Yet, evidence on the causal effect of the epidemic on mortality inequalities remains scarce. In this paper, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a negative relationship between income and excess mortality within urban areas, that persists over COVID-19 waves. Over the year 2020, the poorest municipalities experienced a 30% higher increase in excess mortality. Our analyses can rule out the contribution of policy responses (such as lockdown) in this heterogeneous impact. Finally, we show that both labour-market exposure and housing conditions are major determinants of the direct effect of the epidemic on mortality inequalities, but that their respective role depends on the state of the epidemic.

While a burgeoning literature has documented the unequal distribution of COVID-19 confirmed cases,there is still little evidence on the causal effect of the epidemic on mortality inequalities. In this pa-per, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a persistent negative relationship between income and excess mortality withinurban areas. Over the year 2020, the poorest municipalities experienced a 42% higher increase inexcess mortality. Our analyses further reveal that the policy responses to the epidemic - including thelockdowns - play no role in this heterogeneous impact. Last, we show that both labour-market expo-sure and housing conditions are major determinants of the direct effect of the epidemic on mortalityinequalities, but that their respective role depends on the state of the epidemic and the lockdown policy

Mortality inequalities remain substantial in many countries, and large shocks such as pandemics could amplify them further. The unequal distribution of COVID-19 confirmed cases suggests that this is the case. Yet, evidence on the causal effect of the epidemic on mortality inequalities remains scarce. In this paper, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a negative relationship between income and excess mortality within urban areas, that persists over COVID-19 waves. Over the year 2020, the poorest municipalities experienced a 30% higher increase in excess mortality. Our analyses can rule out the contribution of policy responses (such as lockdown) in this heterogeneous impact. Finally, we show that both labour-market exposure and housing conditions are major determinants of the direct effect of the epidemic on mortality inequalities, but that their respective role depends on the state of the epidemic.

Mortality inequalities remain substantial in many countries, and large shocks such as pandemics could amplify them further. The unequal distribution of COVID-19 confirmed cases suggests that this is the case. Yet, evidence on the causal effect of the epidemic on mortality inequalities remains scarce. In this paper, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a negative relationship between income and excess mortality within urban areas, that persists over COVID-19 waves. Over the year 2020, the poorest municipalities experienced a 30% higher increase in excess mortality. Our analyses can rule out the contribution of policy responses (such as lockdown) in this heterogeneous impact. Finally, we show that both labour-market exposure and housing conditions are major determinants of the direct effect of the epidemic on mortality inequalities, but that their respective role depends on the state of the epidemic.

PSE Working Papers n° 2020-44 ; While COVID-19 was already responsible for more than 500,000 deaths worldwide as of July 3, 2020, very little is known on the socio-economic heterogeneity of its impact on mortality. In this paper, we combine several administrative data sources to estimate the relationship between mortalitydue to COVID-19 and poverty at a very local level (i.e. the municipality level) in France, one of the most severely hit country in the world. We nd strong evidence of an income gradient in the impact of the pandemic on mortality: it is twice as large in the poorest municipalities compared to othermunicipalities. We then show that both poor housing conditions and higher occupational exposure are likely mechanisms. Overall, these mechanisms accounts for up to 60% of the difference observed between rich and poor municipalities.