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【美媒:美国疫情死亡数据存在漏报 检测之前曾收治成批肺炎患者】https://mr.baidu.com/r/rawoekn?f=cp&u=46875df5dddf4b35




美媒:美国疫情死亡数据存在漏报 检测之前曾收治成批肺炎患者

人民日报海外网
04-13 11:42海外网官方帐号
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来源:参考消息网

参考消息网4月13日报道美国《纽约时报》网站4月7日刊发该报记者萨拉·克利夫和朱莉·博斯曼的报道《官方数据低估了美国新冠肺炎死亡人数》,称由于美国没有统一的新冠肺炎死亡上报系统、检测工具不足以及一些州县在统计死亡人数方面的不负责任,美国的新冠肺炎死亡人数可能远高于官方数据。报道编译如下:

印第安纳州的一名验尸官说,3月初她曾想知道一名男子是否死于新冠肺炎,但她所属卫生部门不肯进行检测。纽约市的护理人员说,许多死在家中的患者有明显的感染迹象,却从未接受过新冠病毒检测。

在弗吉尼亚州,一名殡葬主管小心地处理了三名死者的遗体,因为医护人员提醒她说,这几个人的新冠病毒检测结果呈阳性。然而,他们当中只有一个人的死亡证明书上备注了新冠病毒。

在美国各地,尽管新冠病毒致死人数吓人(每天数以百计),但实际死亡人数可能还要高得多。

截至4月5日,美国通报了逾9400名新冠肺炎患者死亡,但医院管理人员、医生、公共卫生专家和验尸官表示,官方数据未能体现出真实的美国人死亡数量。造成这种统计缺漏的原因包括规程不统一、资源有限以及各州县的决策各行其是。许多农村地区的验尸官说,他们没有检测工具来发现这种疾病。

美国没有统一的新冠肺炎相关死亡上报系统,再加上检测工具始终不足,一些州县在统计死亡人数方面敷衍塞责、含混不清,有时还出尔反尔。

约翰斯·霍普金斯大学卫生安全中心的高级学者詹妮弗·努佐说:“我们绝对相信有些死亡病例没有计算在内。”该中心正在密切关注新冠大流行的情况。

公共卫生专家们说,准确统计死亡人数是了解疫情的一个重要手段:疾病的致死人数越多,有关部门出台措施、打破正常生活秩序的意愿就越强。精确的死亡数据还能让联邦政府知道如何调配资源(例如国家储备的呼吸机),把它们拨给最急需的地区。

联邦政府预计要到2021年才会公布新冠肺炎死亡病例的最终数字,届时它将发布美国人主要死因的年度汇编。

4月3日,疾控中心下属的全国卫生统计中心开始发布新冠肺炎死亡病例初步估计数字,但发言人称这一信息“滞后一到两周”。它给出的第一份估计数字称有1150人死亡,依据是把新冠肺炎列入致死相关基础病的死亡证明书数量。

不过,负责开具死亡证明书的人表示,若仅仅依靠这些文件,那恐怕会出现大量遗漏,因为有些死者虽检测出新冠肺炎,但医生和验尸官在死亡报告书上填写相关基础病时没有将其列入。

医院主管人员说,在美国疫情初期,与新冠病毒相关的死亡可能受到忽视。多家医院的医生报告说,他们接诊过一些肺炎患者,最终还没来得及接受检测就去世了。

新奥尔良的图莱恩医疗中心内科主任格拉尔迪娜·纳德说:“在我们开始检测新冠病毒之前,我们收治过成批成批的肺炎患者。我记得自己当时还想,这真是怪事。我相信其中一些患者确实感染了新冠病毒。但当时没有人知道。”

全国各地验尸官正在复核,重新评估在检测工具得到广泛采用之前发生的死亡。

研究死亡统计数据的专家提醒说,科学家们可能需要数月时间才能计算出尽可能精确的美国新冠肺炎死亡率。

一些研究人员则表示,永远不可能有真正准确完整的死亡病例统计数据。这种情况在以前就发生过。


亚拉巴马州谢尔比县的验尸官埃文斯对该县今年早些时候的死亡数据表示怀疑,其中多名死者患有肺炎。(美国《纽约时报》网站)

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U.S. media: U.S. epidemic death data has missed reports

People's Daily Overseas
04-13 11:42 Official account of overseas network
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Source: Reference News Network

Reference News Network reported on April 13 that the "New York Times" website published the report of the newspaper's reporters Sarah Cliff and Julie Bosman on April 7 "Official data underestimated the number of new coronary deaths in the United States." The United States does not have a unified new coronary pneumonia death reporting system, inadequate detection tools and irresponsible statistics on the number of deaths in some states. The number of new coronary pneumonia deaths in the United States may be much higher than official data. The report is compiled as follows:

An Indiana coroner said that in early March she had wondered whether a man died of new coronary pneumonia, but her health department refused to carry out the test. Nursing staff in New York City said that many patients who died at home had obvious signs of infection but had never been tested for new coronavirus.

In Virginia, a funeral director carefully handled the bodies of the three deceased because the medical staff reminded her that the new coronavirus tests of these people were positive. However, only one of them had the new corona virus on the death certificate.

Across the United States, although the death toll from the New Coronavirus is scary (hundreds per day), the actual death toll may be much higher.

As of April 5, the United States reported more than 9,400 deaths from patients with new coronary pneumonia, but hospital administrators, doctors, public health experts and coroners said official data failed to reflect the true number of American deaths. The reasons for this lack of statistics include inconsistent regulations, limited resources, and decision-making by states and counties. Many coroners in rural areas say they have no testing tools to detect the disease.

The United States does not have a unified new coronary pneumonia-related death reporting system. In addition, the detection tools are always inadequate. Some states and counties are perfunctory and unclear about the number of deaths, and sometimes they are also backfired.

Jennifer Nuzo, a senior scholar at the Johns Hopkins University Health Safety Center, said: "We absolutely believe that some deaths are not counted." The center is closely monitoring the new crown pandemic.

Public health experts say that accurately counting the number of deaths is an important means of understanding the epidemic: the more deaths from the disease, the stronger the willingness of relevant departments to introduce measures to break the normal order of life. Accurate death data also allows the federal government to know how to deploy resources (such as nationally-preserved ventilators) and allocate them to the areas most in need.

The federal government does not expect to announce the final number of new coronary pneumonia deaths until 2021, when it will release an annual compilation of the main causes of death in Americans.

On April 3, the National Center for Health Statistics, a subsidiary of the Centers for Disease Control and Prevention, began to publish preliminary estimates of new coronary pneumonia deaths, but the spokesperson said the information "lags one to two weeks." The first estimate it gave was 1,150 deaths, based on the number of death certificates that included new coronary pneumonia in the underlying cause of death.

However, the person responsible for issuing the death certificate stated that if relying on these documents alone, there might be a large number of omissions, because some deceased persons detected new coronary pneumonia, but the doctors and coroners failed to fill in the underlying diseases on the death report Its inclusion.

Hospital officials said that in the early stages of the US epidemic, deaths related to the new coronavirus may be overlooked. Doctors in several hospitals reported that they had received some pneumonia patients and died before they could be tested.

Gladina Nader, director of internal medicine at Tullian Medical Center in New Orleans, said: "Before we started testing for the new coronavirus, we had treated groups of patients with pneumonia. I remember thinking at the time that this was really weird. I I believe some of these patients were indeed infected with the new coronavirus. But no one knew at that time. "

Coroners across the country are reviewing and reevaluating deaths that occurred before the detection tools were widely adopted.

Experts studying death statistics have warned that it may take several months for scientists to calculate the most accurate death rate for new American pneumonitis.

Some researchers say that there can never be truly accurate and complete statistics on death cases. This has happened before.


Evans, a coroner in Shelby County, Alabama, expressed doubts about the county ’s death data earlier this year, many of whom had pneumonia. (US "New York Times" website)

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Does not alter that fact that Covid-19 is no worse than the flu.
 
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