During a busy shift at the height of Beijing's COVID wave, a physician at a private hospital saw a printed notice in the emergency department: doctors should ‘try not to’ write COVID-induced respiratory failure on death certificates
Instead, if the deceased had an underlying disease, that should be named as the main cause of death, according to the notice, a copy of which was seen by Reuters.
"We have stopped classifying COVID deaths since the reopening in December," said a doctor at a large public hospital in Shanghai. "It is pointless to do that because almost everyone is positive." Several said they were told such guidance came from "the government", though none knew from which department, a common situation in China when politically sensitive instructions are disseminated.
Michael Baker, a public health scholar at the University of Otago in New Zealand, said the updated death toll still "looks low" compared with the high level of infection in China. “The hospital was full of patients, all in their 80s or 90s, and doctors had no time to talk to anyone,” Yao said, adding that everyone seemed to have similar COVID-like symptoms.
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