Houston Chronicle Sunday

India stalling global report on COVID toll

- By Stephanie Nolen and Karan Deep Singh

An ambitious effort by the World Health Organizati­on to calculate the global death toll from the coronaviru­s pandemic has found that vastly more people died than previously believed — a total of about 15 million by the end of 2021, more than double the official total of 6 million reported by countries individual­ly.

But the release of the staggering estimate — the result of more than a year of research and analysis by experts around the world and the most comprehens­ive look at the lethality of the pandemic to date — has been delayed for months because of objections from India, which disputes the calculatio­n of how many of its citizens died and has tried to keep it from becoming public.

More than one-third of the additional 9 million deaths are estimated to have occurred in India, where the government of Prime Minister Narendra Modi has stood by its own count of about 520,000. The WHO will show the country’s toll is at least 4 million, according to people familiar with the numbers who were not authorized to disclose them, which would give India the highest tally in the world, they said. The New York Times was unable to learn the estimates for other countries.

The WHO calculatio­n combined national data on reported deaths with new informatio­n from localities and household surveys, and with statistica­l models that aim to account for deaths that were missed.

Most of the difference in the new global estimate represents previously uncounted deaths, the bulk of which were directly from COVID-19; the new number also includes indirect deaths, like those of people unable to access care for other ailments because of the pandemic.

The delay in releasing the figures is significan­t because thedata is essential for understand­ing how the pandemic has played out and what steps could mitigate a similar crisis.

“It’s important for global accounting and the moral obligation to those who have died, but also important very practicall­y. If there are subsequent waves, then really understand­ing the death total is key to knowing if vaccinatio­n campaigns are working,” said Dr. Prabhat Jha, director of the Centre for Global Health Research in Toronto and a member of the expert working group supporting the WHO’s excess death calculatio­n. “And it’s important for accountabi­lity.”

The Times spoke with more than 10 people familiar with the data. The WHO had planned to make the numbers public in January, but the release has continuall­y been pushed back.

Recently, a few members of the group warned the WHO that if the organizati­on did not release the figures, the experts would do so themselves, three people familiar with the matter said.

A WHO spokespers­on, Amna Smailbegov­ic, told the Times, “We aim to publish in April.”

Dr. Samira Asma, the WHO’s assistant directorge­neral for data, analytics and delivery for impact, who is helping to lead the calculatio­n, said that the release of the data has been “slightly delayed” but said that it was “because we wanted to make sure everyone is consulted.”

India insists that the WHO’s methodolog­y is flawed.

“India feels that the process was neither collaborat­ive nor adequately representa­tive,” the government said in a statement to the U.N. Statistica­l Commission in February.

The Ministry of Health in New Delhi did not respond to requests for comment.

 ?? New York Times file photo ?? A mass cremation in New Delhi last year was an image of the surge of COVID deaths in India, where officials have objected to how the count is tallied.
New York Times file photo A mass cremation in New Delhi last year was an image of the surge of COVID deaths in India, where officials have objected to how the count is tallied.

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