"There has been massive media attention on Covid-19 deaths – and there have been a lot of them. The CDC as of noon on 26 November 2020 was reporting that there have been 259,005 total Covid-19 deaths in the United States.
Yet anyone who reads widely is aware that there have been reports of a motorcycle accident victim being reported as a Covid death. There are many who correctly report that all people dying from or with Covid and even suspected of dying from-or-with Covid-19 are all being counted as certified reportable must-make-the-headlines Covid-19 Deaths.
[Note: This is a long and rather detailed explanation of what leads to the situation in which we find ourselves regarding Covid-19 Deaths reporting. Those who want a better understanding of the issue should continue reading. Readers with no or little interest can just accept this brief synopsis: “It’s Complicated” and move on to other posts. ]
...Reporting of Covid-19 Deaths
Here’s the pivot point on Covid-19 Deaths:
This is from the CDC’s weekly Covid report. See the Column 2 heading? It says “All Deaths Involving Covid-19 (U07.1)1”. The keyword is INVOLVING. To be perfectly clear, what is being reported by the CDC, as collected by the National Center for Health Statistics, are All (every one) Deaths (people dying) that Involved Covid-19. See the little footnote indicator “1”?
Footnote 1 says: “COVID-19 deaths are identified using a new ICD–10 code. When COVID-19 is reported as a cause of death – or when it is listed as a “probable” or “presumed” cause — the death is coded as U07.1. This can include cases with or without laboratory confirmation.”
Not just verified cases in which Covid-19 was the immediate cause of death. At least, to be even clearer, not necessarily what you, the average reader, would consider THE cause of death.
So, what exactly are they counting when the CDC and WHO report Covid-10 Covid-19 Deaths? The World Health Organization’s official guidelines are:
2. DEFINITION FOR DEATHS DUE TO COVID-19
A death due to COVID-19 is defined for surveillance purposes as a death resulting from a clinically compatible illness, in a probable or confirmed COVID-19 case, unless there is a clear alternative cause of death that cannot be related to COVID disease (e.g. trauma). ….
A- RECORDING COVID-19 ON THE MEDICAL CERTIFICATE OF CAUSE OF DEATH
COVID-19 should be recorded on the medical certificate of cause of death for ALL decedents where the disease caused, or is assumed to have caused, or contributed to death.
[ my emphasis – kh source: WHO here .pdf ]
Note that the Death Certificate — Cause of Death Part II is “Other significant conditions contributing to…”. So, there is where Covid-19 (ICD code U07.1) would be written for any death in which Covid wasn’t “caused, or is assumed to have caused” but only contributed to the death. If the decedent was a “Covid case” then he/she becomes a “Covid Death” if they die. Read on . . .
For the general public, who want to know “How many people are being killed by the SARS-CoV-2 Pandemic?”, this definition does not supply the answer to their question. The vagueness and breadth of these definitions is exacerbated, in this “possibly-too-broad” sense, by the definitions being used to define “What is a Covid-19 case?”. We see that the WHO definition of a Covid death includes “a probable or confirmedCOVID-19 case”.
So, how do WHO and the CDC define or advise doctors how to define/determine a Covid-19 case?
Clinical Criteria
At least two of the following symptoms: fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new olfactory and taste disorder(s)
OR
At least one of the following symptoms: cough, shortness of breath, or difficulty breathing
OR
Severe respiratory illness with at least one of the following:
Clinical or radiographic evidence of pneumonia, OR
Acute respiratory distress syndrome (ARDS).
AND
No alternative more likely diagnosis
[ source: CDC here ]
So, by this definition, I could at this very moment be declared to be a Covid-19 case...Read all!!!
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