As India's virus cases rise, so do questions over death toll

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As India's virus cases rise, so do questions over death toll
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Questions arise over India's Covid-19 death toll as cases continue to rise. Experts say the numbers are misleading and that India is not counting many deaths.

In India, recording mortality data was poor even before the pandemic struck. Of the 10 million estimated deaths each year, fewer than a quarter are fully documented, and only one-fifth of these are medically certified, according to national figures.

But those guidelines are advisory, and many states don’t comply. In Mahrashtra, India's worst affected state with more than 1 million cases, suspected deaths aren't recorded in the tally, said Dr. Archana Patil, the state's health director. Assam state was following the federal guidelines and was citing the virus only in those deaths due to respiratory failure, pneumonia or blood clots, Barman added. But the guidelines list these factors as instances of how the virus can kill and are not a restrictive checklist. Barman refused to answer any follow-up questions from The Associated Press.In West Bengal state, a similar panel was shelved in May and the state said it would subsequently follow federal guidelines.

In addition, federal Health Ministry guidelines in May advised hospitals against conducting autopsies in suspected Covid-19 cases to prevent exposure to the virus. Although the guidelines say the certification can be done by doctors, experts said this also was leading to undercounting deaths. Maharashtra state health director Archana Patil said this had been a problem in some districts at first, but officials since have been advised to report all deaths.

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