If there’s any major difference between the way we count flu deaths and the way we count COVID-19 deaths, it’s that nobody is trying to publish flu deaths daily, in real time. And that’s where death counting for COVID-19 gets complicated.
The experts who are involved in counting novel coronavirus deaths at all levels — from local hospitals to the Centers for Disease Control and Prevention — disagree with the president. If anything, they say, these deaths are undercounted. And with a death like Bob Duffy’s, you can begin to see why.
All those small decisions, made in the moment because of what was best for Bob, ended up determining how his death was recorded.he way deaths are counted, like so much else in the U.S., differs among states. There’s a lot of variation in this process, even on a good day — a fact that stretches all the way back to the
If Bob had died in a nearby hospital, such as one of the ones in Nassau County owned by Northwell Health, he would have been tested for COVID-19, either before or after his death. Whether he’d been there for five minutes or a month, hospital staff would have been in charge of filling out the part of his electronic death record that pertains to cause of death, a representative from Northwell told me.
Not everyone fills out these records completely, though. And early on during the COVID-19 pandemic, there was a lot of confusion happening, said Shawna Webster, executive director of the National Association for Public Health Statistics and Information Systems, which represents vital registrars nationwide. “It might just say ‘coronavirus,’ which I’m sure you know is not as descriptive as it needs to be,” she said. There are, after all, multiple ways COVID-19 might kill a person.
Over the next few weeks, it would become clear that Bob had been in contact with a number of potential sources of COVID-19 — or maybe he’d been a source that passed it to them. It’s impossible to know. His son-in-law was later diagnosed with the disease, and his wife — one of Bob’s three daughters — tested positive for COVID-19 antibodies.
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