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The pandemic’s true death toll: millions more than official counts

Countries have reported some five million COVID-19 deaths in two years, but global excess deaths are estimated at double or even quadruple that figure.
  1. David Adam

    1. David Adam is a science journalist in London.

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Relatives of a deceased person mourn during a mass burial of COVID-19 victims at the Parque Taruma cemetery in Manaus, Brazil.

A family stands at the grave of a relative who died from COVID-19 in Manaus, Brazil, in May 2020. Credit: Andre Coelho/Getty

Last year’s Day of the Dead marked a grim milestone. On 1 November, the global death toll from the COVID-19 pandemic passed 5 million, official data suggested. It has now reached 5.5 million. But that figure is a significant underestimate. Records of excess mortality — a metric that involves comparing all deaths recorded with those expected to occur — show many more people than this have died in the pandemic.

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Nature 601, 312-315 (2022)

doi: https://doi.org/10.1038/d41586-022-00104-8

Updates & Corrections

  • Clarification 31 January 2022: This article has been modified to include researchers’ views about COVID-19 deaths in China.

References

  1. De Nicola, G., Kauermann, G. & Hohle, M. AStA Wirtsch. Sozialstat. Arch. https://doi.org/10.1007/s11943-021-00297-w (2022).

    Article  Google Scholar 

  2. Karlinsky, A. & Kobak, D. eLife 10, e69336 (2021).

    Article  PubMed  Google Scholar 

  3. Simonsen, L. et al. PLoS Med. 10, e1001558 (2013).

    Article  PubMed  Google Scholar 

  4. Paget, J. et al. J. Glob. Health 9, 020421 (2019).

    Article  PubMed  Google Scholar 

  5. Jha, P. et al. Science https://doi.org/10.1126/science.abm5154 (2022).

    Article  Google Scholar 

  6. Anand, A., Sandefur, J. & Subramanian, A. CGD Working Paper 589 (Center for Global Development, 2021).

  7. Karlinsky, A. Preprint at medRxiv https://doi.org/10.1101/2021.08.30.21262814 (2021).

  8. Koum Besson, E. S. et al. BMJ Glob. Health 6, e004564 (2021).

    Article  PubMed  Google Scholar 

  9. Warsame, A. et al. Int. J. Infect. Dis. 113, 190–199 (2021).

    Article  PubMed  Google Scholar 

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