In patients where a clinical cause was able to be identified, the vast majority of cases were clearly deaths caused by COVID-19, which means that this is likely a true undercount of the deathspic.twitter.com/PY7hn9Bznb
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In patients where a clinical cause was able to be identified, the vast majority of cases were clearly deaths caused by COVID-19, which means that this is likely a true undercount of the deathspic.twitter.com/PY7hn9Bznb
Worryingly, only 1 in 7 of the children who died of COVID-19 had been tested for it beforehandpic.twitter.com/SxBWiYlPHe
If this paper is true for the entire country, it implies that the COVID-19 death toll for Zambia could be up to 10x higher (!) that reported figures
Sorry, the above tweet should read "at least" 10x higher than official figures, it is entirely possible that it is much higherhttps://twitter.com/zchagla/status/1367627991308763136?s=20 …
Worth noting tho that this is a small and unrepresentative sample of deaths. That being said, even just the deaths identified in this one study of part of one city would raise the country's COVID-19 death numbers by 6% 
This is also worth bearing in mind when you see reports of extremely low death counts in some countries. There is a strong possibility that the official statistics in many places represent a substantial undercount of the true COVID-19 burden
Is there any data on mortality beyond COVID? This piece suggests undercounting alone would not explain low numbers in subsaharan Africa. It also suggests there would've been many more deaths from malaria, TB and HIV than COVID. Is this mistaken?https://www.newyorker.com/magazine/2021/03/01/why-does-the-pandemic-seem-to-be-hitting-some-countries-harder-than-others …
In Lusaka, malaria has essentially been eliminated. I agree with your point about HIV and TB however. Both were very common in this cohort.
wow, wer hätte das gedacht
@solano_leiva @CastelarW @labdatero @Fundaungo @Disruptiva2 @covid_sv
Diseño y evidencia. Subregistro mortalidad.
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