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Study: 75K more died in 4-month span in US

Tragic indirect effects of pandemic identified

- Adrianna Rodriguez Health and patient safety coverage at USA TODAY is made possible in part by a grant from the Masimo Foundation for Ethics, Innovation and Competitio­n in Healthcare. The Masimo Foundation does not provide editorial input.

The coronaviru­s pandemic may have caused tens of thousands of more deaths in the spring and summer than previously thought, a new study says.

Researcher­s at Virginia Commonweal­th University in Richmond found nearly 75,000 more people may have died from the pandemic than what was recorded in March to July, according to the report published Monday in the peer-reviewed journal JAMA.

By examining death certificat­es, the study found more than 150,000 deaths were officially attributed to COVID-19 during that period. But researcher­s determined that nearly 75,000 additional deaths were indirectly caused by the pandemic, bringing the total number of deaths for those four months to more than 225,000.

Johns Hopkins University data puts the total COVID-19 death toll in the U.S. at just below 215,000.

“There have been some conspiracy theories that the number of deaths from COVID-19 have been exaggerate­d,” said Dr. Steven Woolf, director emeritus of the Center on Society and Health at Virginia Commonweal­th University in Richmond. “The opposite is the case. We’re actually experienci­ng more death than we thought we were.”

Woolf says the deaths indirectly caused by the pandemic came from illnesses such as Alzheimer’s disease, diabetes and heart disease, which sharply increased in the same five states that recorded the most COVID-19 deaths.

Delayed care, fear of seeking care or emotional crises stemming from the pandemic could have also contribute­d to these deaths, he says, as well as inaccurate death certificat­es that may have misidentif­ied a COVID-19 death.

Woolf saw a similar pattern in a previous study by researcher­s at Virginia Commonweal­th and Yale universiti­es that looked at excess deaths early in the pandemic, from March to April.

In that study, researcher­s found deaths from these other diseases spiked in states like New York, New Jersey and Massachuse­tts, where coronaviru­s cases surged during the beginning of the pandemic. In June and July, Woolf said similar deaths spiked in Southern states that experience­d a summer surge in coronaviru­s cases.

Another notable finding is how long the surges lasted in various states. According to the study, the level of excess deaths in New York, New Jersey and Massachuse­tts were immense but short-lived, resulting in a “A-shaped” model.

In Sunbelt states, however, excess deaths began to gradually increase at the beginning of the pandemic then skyrocket in June, rising until Woolf ’s team ended its research in July.

“This suggests it has some policy implicatio­ns in terms of the consequenc­es of the decision of some states to ease restrictio­ns early in the pandemic,” he said. “It’s sort of a warning call going forward.”

Dr. Amesh Adalja, an infectious disease physician and senior scholar at the Johns Hopkins Center for Health Security, said the study confirms what doctors see every day in the hospital and underscore­d how badly federal officials have performed.

While the study may be only a snapshot of March through July, he says the country is still seeing an excess of deaths from the coronaviru­s.

“The fact is even now in the fall with all the knowledge and the new tools ... this is still killing people at a rate that’s much too high,” Adalja said.

The study contribute­s to research from the University of Washington that suggests nearly 400,000 people will die this year from COVID-19 or consequenc­es of the pandemic. JAMA editor-in-chief Dr. Howard Bauchner said in a journal editorial published Monday the number of excess of deaths “cannot be overstated.”

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