Death Toll at Start of COVID-19 Pandemic Likely Higher Than US Count

A recent study published in Science Advances suggests the early U.S. COVID-19 death toll was significantly undercounted, estimating more than 155,000 additional deaths between March 2020 and December 2021—an increase of 15.6% over official figures.

Researchers point to gaps in out-of-hospital death reporting and a fragmented, under-resourced mortality surveillance system as key contributors. The findings also highlight persistent geographic and sociodemographic inequities, with undercounted deaths more likely in rural areas and among populations with lower socioeconomic status.

For public health communicators, the study underscores the importance of strengthening data systems, improving death reporting accuracy, and addressing disparities in health outcomes. Read more from The Guardian here.