Coroners and medical examiners are starting to test for COVID-19 among those who die unexpectedly, including people who die at home. The process could help communities contain their outbreaks.
Medical examiners and coroners are the last stop for investigating unexpected deaths, including those who may have died of COVID-19. In April, the Cook County Medical Examiner opened a surge center to handle overflow from Chicago-area hospital morgues.Medical examiners and coroners are the last stop for investigating unexpected deaths, including those who may have died of COVID-19.
Those changes won't happen at once or uniformly across the country, experts predict. In addition, an increase in postmortem testing is likely to put coroners and medical examiners in the middle of a debate heating up about the true number of COVID-19 casualties.. Some defenders of the Trump administration's response charge that death estimates are inflated, often because they include people who were presumed to have died of the disease but not tested for it.
As availability increases, however, stepping up postmortem COVID-19 testing could uncover important clues about the spread of the virus, experts say.rather than seeking help at hospitals overwhelmed with coronavirus patients., compared with 20 such deaths before the pandemic, a spokesperson for the city's medical examiner told WNYC, the local public radio station.
If family or friends say the person had symptoms consistent with COVID-19, the coroner's office will typically do a nasal swab to test for the virus, he says. If the test is positive and the office can determine the cause of death without an autopsy, one will generally not be performed.backgrounds are often different
"They're surprised at some of the people who are positive," including suicides and car accidents, she says.Dr. Judy Melinek,If a body at the morgue is positive for COVID-19,"you want to avoid doing an autopsy unless it's absolutely necessary," Melinek says, because of the risk of becoming exposed to the virus through aerosolized particles or blood.
, according to the federal Centers for Disease Control and Prevention. People may die before then. Still, postmortem antibody testing could provide useful information, experts say.
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