Albany Times Union

Pandemic concerns hide other tragedies CHRIS CHURCHILL

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Contact columnist Chris Churchill at 518454-5442 or email cchurchill@ tmesunion. com

TAlbany imothy Cavanaugh, a coroner in Albany County for 34 years, has never seen a year like this one — and doesn’t want to see another like it.

The coroner’s office, Cavanaugh told me, is on pace to handle a record number of autopsies, and, contrary to what you might expect, the increase he’s experienci­ng has nothing to do with COVID -19 deaths. Generally speaking, the county coroner doesn’t handle coronaviru­s-related deaths, he said.

Instead, the increase in autopsies is driven by an increase in homicides, suicides and drug overdoses.

“COVID has kind of put everything else on the back burner,” Cavanaugh said. “But the amount of young people we’re losing to heroin this year is really alarming.”

In a typical year, the county coroner’s office performs 220 to

Albany County Coroner Timothy Cavanaugh, front left, says there have been an alarming number of homicides, suicides and drug overdoses during the coronaviru­s pandemic. The county expects to perform over 300 autopsies this year.

240 autopsies. So far this year, it has performed 255, Cavanaugh said, and expects to be over 300 by year’s end.

What accounts for the increase? Cavanaugh wasn’t sure.

But homicide rates have spiked in cities around the country, and many public health experts nationally have been sounding alarms on apparent increases in overdoses and suicides — often called deaths of despair — since the start of the coronaviru­s pandemic.

I’d caution against drawing firm conclusion­s. Correlatio­n does not imply causation. We can’t say for certain that what Cavanaugh is seeing results directly from the pandemic or its economic shocks.

Still, the Centers for Disease Control and Prevention, which estimates there have been nearly 94,000 NON-COVID “excess deaths” this year, is among the groups sounding the alarm on “considerab­ly elevated adverse mental health conditions” during the pandemic.

In one CDC survey, 11 percent of all respondent­s said they had “seriously considered” suicide recently. For those aged 18 to 24, the number was one in four — a terrifying statistic.

Reams of other data suggest American happiness has plummeted amid a wave of anxiety and depression, which perhaps isn’t surprising. In much of the country, the economy has been destroyed by the coronaviru­s and government-imposed lockdowns. Millions of Americans remain worried over how they’ll pay bills and feed their children. The fear is real.

As it happens, concern about impacts of the pandemic and government­imposed restrictio­ns was the focus of a proposal authored and signed in western Massachuse­tts over the weekend. “The Great Barrington Declaratio­n,” as it’s called, argues that government­s may be doing more harm than good.

“Current lockdown policies are producing devastatin­g effects on short- and long-term public health,” wrote three epidemiolo­gists — Martin

Kulldorff from Harvard University, Sunetra Gupta of Oxford University and Jay Bhattachar­ya of Stanford University. “The results (to name a few) include lower childhood vaccinatio­n rates, worsening cardiovasc­ular disease outcomes, fewer cancer screenings and deteriorat­ing mental health — leading to greater excess mortality in years to come, with the working class and younger members of society carrying the heaviest burden.”

The document, cosigned as of Wednesday afternoon by more than 7,500 health scientists and medical practition­ers, argues that people should live as normally as possible in the face of the virus while taking extreme care to protect the most vulnerable. It’s a “herd immunity” proposal essentiall­y, akin to how Sweden has approached the virus.

“Keeping students out of school is a grave injustice,” the Declaratio­n, well, declares. “Keeping these measures in place until a vaccine is available will cause irreparabl­e damage, with the underprivi­leged disproport­ionately harmed.”

The Great Barrington Declaratio­n is controvers­ial, not surprising­ly. After all, it is diametrica­lly in opposition to the advice of most public health officials and the approach taken by Gov. Andrew Cuomo and other politician­s.

David Holtgrave, dean of the University at Albany School of Public Health, is among those who will not sign it. In an email, Holtgrave said the idea that younger population­s can live normally while older population­s are protected “is quite flawed public thinking.”

“It tends to ignore the potential for young persons to transmit to older population­s,” Holtgrave wrote, later adding that “COVID -19 is too serious to simply throw caution to the wind and hope for the best.”

I won’t get in the middle of a debate between public health experts. But I will at least credit the Great Barrington authors for attempting to spotlight the hidden tragedies of the coronaviru­s pandemic — the horrors that Timothy Cavanaugh is seeing more than ever.

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 ?? Lori Van Buren / Times Union ??
Lori Van Buren / Times Union

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