The search for early coronavirus deaths plagued by bureaucratic delays and roadblocks

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The search for early coronavirus deaths plagued by bureaucratic delays and roadblocks
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Efforts to trace coronavirus deaths have been frustrated by roadblocks: delays in setting policies for testing the dead, a single national lab and a fractionalized coroner system.

. A CDC report says that of more than 12,000 travelers arriving in California from China, the state was aware of only three that developed COVID-19. The state could not say if the majority of travelers escaped the virus — they had vanished off the radar.

The Times also analyzed death records reported to the Santa Clara County medical examiner. They show a spike in pneumonia and influenza-related deaths in early March, a week before the county began also seeing increased deaths from COVID-19. The surge rose far above the number of similar deaths during the flu season the year before.

The discovery has spurred epidemiologists, pathologists and microbiologists already working within their own disciplines to understand the hidden spread of COVID-19.The populace at large is pressing other questions — when is it safe to lift quarantines, and whether a horrible bout with flu last winter was really COVID-19.Marjorie Waggoner, 98, lived in an assisted living facility in San Jose. She was remarkably healthy but suffered memory loss from Alzheimer’s disease.

At an April 22 press appearance, the day after news of Dowd’s death, Gov. Gavin Newsom announced a “directive” for other California county coroners to look for other early deaths by the virus.A Times investigation shows that it was a week before the directive was actually issued, asking for testing of cases from Dec. 17 through March 16, but excluding hospital deaths after March 4 or deaths of those who had been to China.

Tissue testing has the capability of revealing if COVID-19 was killing patients “that we just didn’t know at the time because we weren’t looking,” said Dr. Jen Dien Bard, the virology lab director at Children’s Hospital in Los Angeles. However, she said she did not believe there was much demand in the United States for postmortem tissue testing of COVID-19.

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