We know, because of the lack of widespread testing, that incidences of Covid-19 are under-reported. What is less well known is that they may be over-reported as a cause of death. In hospices and in care homes, I gather, where tests are not available, doctors are encouraged, if in doubt, to write ‘suspected Covid‑19’ on 1A of the death certificate, as the ‘primary cause’ of death. They do not wish to be accused of underplaying it. But they do not know they are right, because there have been no tests. A cough and a temperature can be enough to secure a Covid diagnosis, yet the cough could have many causes and the temperature could have come from sepsis. At the time of writing, our daily death figures are only hospital deaths. When hospice and care home ones are added, as is intended soon, can anyone know their accuracy?
A neighbour of ours, self-isolating and with poor lung function, has twice been telephoned recently by the medical authorities.
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