Response to Request for Information (RFI): COVID-19 Misinformation from Official Sources During the Pandemic

“#1 Overcounting COVID-19: The official CDC numbers for COVID-19 deaths and hospitalizations are inaccurate. The official tallies include many people who have died with rather than from COVID-19. CDC has not distinguished deaths where COVID-19 was the primary cause of death, where COVID-19 was a contributing cause of death, or where the death was entirely unrelated to COVID-19, but they incidentally tested positive.

There are three reasons for this problem. (i) The counting of COVID-19 cases and deaths is unlike the way that public health counts the incidence and mortality caused by other diseases; physicians have been advised to fill out death certificates to privilege COVID-19 as a proximal cause, even when the medical facts suggest otherwise. (ii) The population-wide testing to identify asymptomatic individuals infected with the SARS-CoV-2 virus is unprecedented in human history. (iii) Although it would have been easy, CDC has not conducted random national surveys of medical charts to determine what proportion of reported COVID-19 deaths were truly due to COVID-19. Ex-post audits of death certificates and medical records in Santa Clara County and Alameda County, California, for instance, found that in ~25% of death certificates in which COVID-19 was labeled as the primary cause of death, other causes of death were more likely. The peer-reviewed literature confirms that COVID-19 is overcounted in other developed countries. Ex post audits of death certificates should be conducted to establish an accurate death count from COVID-19.”