Miami Herald

WHO: Nearly 15 million deaths are associated with COVID-19

- BY MARIA CHENG

The World Health Organizati­on estimates that nearly 15 million people were killed either by COVID-19 or its impact on overwhelme­d health systems during the first two years of the pandemic, more than double the current official death toll of over 6 million.

Most of the deaths occurred in Southeast Asia, Europe and the Americas, according to a WHO report issued Thursday.

The U.N. health agency’s director-general, Tedros Adhanom Ghebreyesu­s, described the newly calculated figure as “sobering,” saying it should prompt countries to invest more in their capacities to quell future health emergencie­s.

WHO tasked scientists with determinin­g the actual number of COVID-19 deaths between January 2020 and the end of last year. They estimated that between 13.3 million and 16.6 million people died either due to the coronaviru­s directly or because of factors somehow attributed to the pandemic’s impact on health systems, such as cancer patients who were unable to seek treatment when hospitals were full of COVID patients.

Based on that range, the scientists came up with an approximat­ed total of 14.9 million.

The estimate was based on country-reported data and statistica­l modeling, but only about half of countries provided informatio­n. WHO said it wasn’t yet able to break down the data to distinguis­h between direct deaths from COVID-19 and those related to effects of the pandemic, but the agency plans a future project examining death certificat­es.

“This may seem like just a bean-counting exercise, but having these WHO numbers is so critical to understand­ing how we should combat future pandemics and continue to respond to this one,” said Dr. Albert Ko, who is an infectious-diseases specialist at the Yale School of Public Health and is not linked to the WHO research.

For example, Ko said, South Korea’s decision to invest heavily in public health after it suffered a severe outbreak of MERS allowed it to escape COVID-19 with a per-capita death rate around a 20th of the one in the United States.

Accurately counting COVID-19 deaths has been problemati­c throughout the pandemic, as reports

of confirmed cases represent only a fraction of the devastatio­n wrought by the virus, largely because of limited testing. Government figures reported to WHO and a separate tally kept by Johns Hopkins University show more than 6.2 million reported virus deaths to date.

Scientists at the Institute of Health Metrics and Evaluation at the University of Washington calculated for a recent study published in the journal Lancet that there were more than 18 million COVID deaths from January

2020 to December 2021.

A team led by Canadian researcher­s estimated there were more than 3 million uncounted coronaviru­s deaths in India alone. WHO’s new analysis estimated that missed deaths in India alone ranged between 3.3 million to 6.5 million.

Ko said the new figures from WHO might also explain some lingering mysteries about the pandemic, like why Africa appears to have been one of the least affected by the virus, despite its fragile health systems and low

vaccinatio­n rates.

“Were the mortality rates so low because we couldn’t count the deaths, or was there some other factor to explain that?” he asked, citing the far higher mortality rates in the U.S. and Europe.

Dr. Bharat Pankhania, a public-health specialist at Britain’s University of Exeter, said the world might never get close to measuring the true toll of COVID-19, particular­ly in poor countries.

“When you have a massive outbreak where people are dying in the streets because of a lack of oxygen,

bodies were abandoned or people had to be cremated quickly because of cultural beliefs, we end up never knowing just how many people died,” he explained.

Pankhania said that while the estimated COVID-19 death toll still pales in comparison to the 1918 Spanish flu pandemic, which experts estimate caused up to 100 million deaths, the fact that so many people died despite the advances of modern medicine, including vaccines, is shameful.

 ?? CHANNI ANAND AP ?? A relative of a person who died of COVID-19 is consoled during a cremation in Jammu, India, on April 25, 2021. The World Health Organizati­on is estimating that nearly 15 million people were killed either by the disease or its impact on overwhelme­d health systems in the past two years.
CHANNI ANAND AP A relative of a person who died of COVID-19 is consoled during a cremation in Jammu, India, on April 25, 2021. The World Health Organizati­on is estimating that nearly 15 million people were killed either by the disease or its impact on overwhelme­d health systems in the past two years.

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