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China Medicine

Shanghai's Low Covid Death Toll Revives Questions About China's Numbers (nytimes.com) 185

China's largest city has recorded just 17 Covid deaths, despite surging cases. How China defines a Covid death may be part of the reason. The New York Times: By the numbers, Shanghai has been an exemplar of how to save lives during a pandemic. Despite the city's more than 400,000 Covid-19 infections, just 17 people have died, according to officials, statistics they have touted as proof that their strategy of strict lockdowns and mass quarantines works. But those numbers may not give a complete picture of the outbreak's toll. China typically classifies Covid-related deaths more narrowly than many other countries, labeling some chronically ill patients who die while infected as victims of those other conditions. In addition, a nearly three-week lockdown of China's biggest city has limited access to medicine and care for other illnesses. A nurse who suffered an asthma attack died after being denied care because of virus controls. A 90-year-old man died of complications from diabetes after being turned away from an overwhelmed hospital.

"If, at the time, he had been able to get treatment, he probably would have survived," said the man's granddaughter, Tracy Tang, a 32-year-old marketing manager. Residents and frontline workers have also been pushed to their limits by the policies. A hospital worker started bleeding internally after long hours conducting mass testing; she, too, died. It may never become clear how many similar stories there are. China does not release information on excess deaths, defined as the number of deaths -- from Covid as well as other causes -- exceeding the expected total in a given period. Public health scholars say that figure more accurately captures losses during the pandemic, as countries define Covid-related deaths differently. But as an example of the hidden impacts, a prominent Chinese physician recently estimated that nearly 1,000 more diabetes patients could die than expected during Shanghai's lockdown, urging the authorities to take a more measured response.

The outbreak there has revived questions about the true toll of Covid in China, which has officially reported fewer than 5,000 deaths from the coronavirus in two years. Beijing is unlikely to waver from its stringent approach. China's leader, Xi Jinping, has made the country's low death and infection rates central to his administration's legitimacy. Officials have been fired after even a few cases were detected in their jurisdictions. Last week, Mr. Xi said that "prevention and control work cannot be relaxed." The focus on minimizing Covid deaths risks incentivizing officials to neglect other causes of death, said Xi Chen, a professor of public health at Yale.

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Shanghai's Low Covid Death Toll Revives Questions About China's Numbers

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  • by quonset ( 4839537 ) on Friday April 22, 2022 @05:42AM (#62468094)

    A hospital worker started bleeding internally after long hours conducting mass testing;

    Someone with real medical experience needs to explain this one. If this is true there should be people all over the world with internal bleeding from doing their job.

    • Re: What? (Score:5, Informative)

      by LatencyKills ( 1213908 ) on Friday April 22, 2022 @06:01AM (#62468114)

      EMT here - I'm possibly stretching the description of internal, but ulcers can be exacerbated to the point if perforation and bleeding through stress, lack of sleep, poor diet, etc. I'll add that the article quibbles about whether someone who died from diabetes but could not get treatment due to the lock down should be counted as a covid death, but I'm not aware of anywhere that used that standard. You died of covid symptoms or covid complications and tested positive for covid - that's a covid death. In the US about 1% of people who contracted covid died despite often excellent medical care - it's as simple as that. That number is finally starting to go down due to advanced antiviral and plasma treatments - oh, and let's not forget the excellent efficacy of horse dewormer /s

      • Re: (Score:2, Insightful)

        by sg_oneill ( 159032 )

        Your profession (Medicine) really deserves a ticker-tape parade when this over. In the earliest stages of the pandemic when doctors and researchers where still trying to figure out WTF this disease was and how to treat it, we saw death rates as high as 10%+ Thankfully it didnt take TOO long for the Docs to finally get their head around treating this thing properly , instead of throwing everything at the wall desparately hoping SOMETHING sticks [and occasionally getting flumoxed when politicans started advo

        • Re: What? (Score:5, Insightful)

          by Merk42 ( 1906718 ) on Friday April 22, 2022 @09:02AM (#62468552)

          Lets just pray MERS doesnt figure out how to spread properly amongst humans however. Or for that matter that Ebola doesnt get clever and pick up a nice long incubation time before turning warewolf on us. Between an "Uh oh 60% death toll" doomsday virus and the unfortunate rise of the anti-science brigades resistance to vaccines, lockdowns and masks we'd be potentially in for a civilization ending pandemic.

          Another factor that makes pandemics worse, than say, the Spanish Flu a century ago: Technological advancements in travel

          People couldn't travel as far, nor as easily back then, so a virus couldn't easily spread as far either.

          • People couldn't travel as far, nor as easily back then, so a virus couldn't easily spread as far either.

            Travel was even more restricted in the 14th Century, at the time of the Black Death, but it still managed to cover all of Europe, although it took about seven years to cover the whole continent.
        • Re: What? (Score:4, Interesting)

          by AmiMoJo ( 196126 ) on Friday April 22, 2022 @09:26AM (#62468654) Homepage Journal

          If I were a doctor or a nurse I think this pandemic would have broken me.

          In the UK we made a big deal of thanking our healthcare workers. Every Thursday at 8 PM we went outside and clapped for them. The whole country was at it, millions of us. They were going through hell, a lot of them dying from it, stretched the limit. Wearing bin bags because they couldn't get the PPE they needed, doing nothing but work and sleep because of chronic staff shortages exacerbated by people off with COVID.

          Then when things calmed down after the first wave, the public got lax. The government had lost credibility and seems to have decided it could rely on those healthcare workers soldiering on through the winter. The government didn't want to be the baddies who cancelled Christmas.

          It started to emerge that members of the government were using the pandemic to get rich quick. Costing the taxpayer tens of billions. But when it came time to review pay for doctors and nurses and other hospital staff, who had been taking yearly pay cuts for a decade... There was no money left, it had all gone to cronies and they had to take yet another hit to their income. Voters seemed indifferent to it.

          The utter betrayal and willingness of the public to do a feel-good clap but not actually protect or pay those healthcare workers, not even to tolerate wearing a mask to keep the numbers down a bit... If I were them I couldn't take it, I'd have put in my resignation by now. It's an absolute disgrace how we treated them.

          • It started to emerge that members of the government were using the pandemic to get rich quick

            What?

      • by rsilvergun ( 571051 ) on Friday April 22, 2022 @08:50AM (#62468534)
        is pretty common. I know at least Japan has a word for it, I wouldn't be surprised if China does too.

        When you lockdowns are interfering with essential services you've overdone it. Pull back. I get that their dense population centers make a disastrous outbreak possible. People forget China's population density is almost twice that of the US. Also China's healthcare system (which is private and for profit, btw) is worse than even the United States'. I get why they'd want to lock down, but this is incompetence.

        But, well, they're a kleptocratic dictatorship. So incompetence is to be expected. Too much power in too few hands. What scares me is the United States came close to going that round this last election cycle. About 30-40% of the voting population seems to think it's for the best.
      • In the US about 1% of people who contracted covid died despite often excellent medical care - it's as simple as that.

        Not quite that simple. 1% of people who TESTED POSITIVE for COVID died. There have been estimates that for each positive test, there were several (2-5) more undetected infections. The death rate for COVID is not 1%, otherwise you would be looking at millions of deaths in the US alone.

      • These Chinese workers doing the covid testing are essentially very low paid, are migrant workers, sleep in very cramped quarters, and in general it's a terrible job even by Chinese standards.

    • Re:What? (Score:5, Informative)

      by sg_oneill ( 159032 ) on Friday April 22, 2022 @07:37AM (#62468330)

      People do actually. Workplace deaths from over exertion and stress are fairly routine. To the point where work is considered the fifth largest cause of death. The WHO puts it at around 2 million dead per year. Now granted a good chunk of thats going to be accidents, but places with poor workplace safety laws (And unfortunately the US is in that category thanks the bizare power of industry lobbyists) you also get a lot of death from pathogen exposure, radiation from exposure to coal and other radioactibve materials, inhallation, excessive hours and excessive anxiety leading to internal bleeding and so on.

      Heart attacks and Strokes acquired from overwork account for 750,000 deaths globally a year.

      And we have no way to estimate the death toll from workplace induced suicide, particularly in countries with poor welfare systems that trap people into gruelling work with no safety net. But its estimated to be very high indeed.

      So yeah, people really are dying from doing their job.

  • by Bruce66423 ( 1678196 ) on Friday April 22, 2022 @05:52AM (#62468102)

    Once more the needs of party propaganda, and of Winnie the Xi to keep the situation stable till he gets reelected later this year, is making the world realise that we need to treat Chinese statistics and claims with very high levels of scepticism.

    • Exactly. The only thing Chinese COVID numbers tell us is what numbers are politically expedient for the party leadership.
      • by splutty ( 43475 )

        The fact they're not actually 0 makes that even more funny, because someone realized that 0 is so incredibly unbelievable as to be impossible that it might not be a good idea to use that number.

    • Re: (Score:3, Informative)

      by AmiMoJo ( 196126 )

      Our own governments to the same stuff. Not quite as brazenly, but still.

      In the UK the official death toll includes anyone who died within 28 days of a positive COVID test. Die a day later, or don't get tested, and they don't count. The Office for National Statistics has a different number based on the number of people where COVID was listed on the death certificate as a cause. Guess which one is higher.

      The WHO should have worked to create an international standard for these stats.

      • Re: (Score:2, Interesting)

        by Anonymous Coward

        How should they have counted covid deaths then?

        Bear in mind that whatever system or standard you choose has to actually be achievable in difficult and variable circumstances. Even across the UK the capabilities vary, so trying to work out what the entire planet is capable of is virtually impossible.

        > Die a day later, [snip] and they don't count

        What's the "timeout" for covid then? What would a more reasonable time be?

        > [snip] don't get tested, and they don't count

        How else would you know it was covid wi

      • by Saunalainen ( 627977 ) on Friday April 22, 2022 @08:06AM (#62468418)

        In the UK the official death toll includes anyone who died within 28 days of a positive COVID test. Die a day later, or don't get tested, and they don't count. The Office for National Statistics has a different number based on the number of people where COVID was listed on the death certificate as a cause. Guess which one is higher.

        You may well guess wrong. From the UK Government's own COVID data page [data.gov.uk], the total number of deaths within 28 days of a positive COVID test is LOWER than the total deaths where COVID was listed on the death certificate as a cause (though the pattern is reversed for deaths over the past week). I recall that the official death toll is also somewhat lower than the total number of excess deaths. The suggestion that the government is using inflated death figures is simply not borne out by the facts.

        • by AmiMoJo ( 196126 )

          I think you misunderstood. As you say, the official government figure is LOWER than the ONS number that looks at death certificates. The government is trying to make its COVID response look *less bad* by fiddling the stats.

          In other words the UK government chose a measure that is based on a somewhat arbitrary standard, because it is lower than the one based on a more reliable standard. Some people will die without being tested, some will die from things unrelated to COVID, it's just not a good way of measuri

      • There are three sets of statistics published, as shown by the BBC which carefully explains what they do, and don't show. Each of them has its critics, but the fact that all are updated shows a very different attitude to the truth.

        https://www.bbc.co.uk/news/uk-... [bbc.co.uk]

    • by AmiMoJo ( 196126 )

      They are doubtless too low, but also unlikely to be several orders of magnitude out like some people are claiming.

      China has very strict lockdowns, so you would expect them to be effective. Of course they enforce them with violence, rather than with legal penalty (like most of Europe) or by building trust and consent (like New Zealand).

    • Once more the needs of party propaganda, and of Winnie the Xi to keep the situation stable till he gets reelected later this year, is making the world realise that we need to treat Chinese statistics and claims with very high levels of scepticism.

      Exactly.

      The problem is China wants COVID Zero. To do that, they imposed a mandatory lockdown. They said it was going to be 3 days, and effectively threatened arrest for anyone to suggest otherwise.

      It's been two weeks, and no one in Shanghai has been allowed out of their homes. These people prepared for a 3 day lockdown, not a 14+ day one. Imagine you were told to prepare for a 3 day lockdown, and what you might do differently if it was going far longer. Now imagine being told that it was guaranteed it won't be longer than 3 days, and to suggest otherwise would get you jail time.

      Now imagine what potential problems might be, and you'll see what's happening in Shanghai right now.

      Yes, hunger - because people prepared for 3 days, and basically ran out of food. And the Chinese delivery apps still allowed to deliver, barely work.

      You can Google "Shanghai night screaming" on what happens every night as people are desperately crying for food.

      If you're lazy, there are plenty of news on it.

      https://www.cnn.com/2022/04/19... [cnn.com]
      https://www.politifact.com/art... [politifact.com]
      https://nypost.com/2022/04/11/... [nypost.com]

      A two minute video summarizing what's happening - https://www.youtube.com/watch?... [youtube.com]

      China needs to show people "it's working" so the numbers are suspect, because if the people knew what the real numbers were, they'd riot. They're hungry, they're starving, the lockdown doesn't seem to end, and it's not accomplishing what the government is saying it does.

      So the numbers are fake because COVID Zero isn't working, and practically all of the western world has come to accept that and likely will have to have annual COVID shots to go with the flu shots.

      There's some hope - the populace is getting unruly enough that belief in COVID Zero is faltering as is their belief that the government has things under control.

      • How could it not be working? If you isolate people, how is it still spreading?

      • by AmiMoJo ( 196126 )

        Not only did they botch the lockdown, they now seem to be getting desperate. State news reports spraying the roads and pavements with disinfectant, which clearly is going to have zero effect.

      • On the upside obesity numbers are down in Shanghai.

    • For good reason (Score:5, Insightful)

      by Pollux ( 102520 ) <speter@[ ]ata.net.eg ['ted' in gap]> on Friday April 22, 2022 @07:41AM (#62468344) Journal

      Once more the needs of party propaganda, and of Winnie the Xi, [are needed] to keep the situation stable till he gets reelected later this year,

      And for good reason. Things aren't all coming up plum blossoms there in the dragon kingdom. Between their Demographic Collapse [youtube.com], their Housing Crisis [youtube.com], and their Water Crisis [youtube.com], the last thing Pooh Bear needs is a crisis #4. Authoritarians in power want more power, not threats to it. Hence, China has to make COVID look like it's under control.

      Because Communist China's greatest thing to fear is not the United States, but rather its own countrymen. How many successful revolutions has the United States experienced in the last century? Zero. How many successful revolutions has China experienced in the last century (...well, 111 years, actually)? Not just one [wikipedia.org], but two [wikipedia.org]. Maintaining a civil state with a population of over a billion people is no easy feat.

      • by rgmoore ( 133276 )

        Authoritarians in power want more power, not threats to it. Hence, China has to make COVID look like it's under control.

        And their approach to try to keep the virus under control is an authoritarian one that's built around giving the state ever more power over people's lives.

  • by jmke ( 776334 ) on Friday April 22, 2022 @06:33AM (#62468156) Homepage Journal
    since every country has different rules regarding what they consider a "covid" death, the only real metric is excess mortality
    ourworldindata.org : https://ourworldindata.org/exc... [ourworldindata.org]

    which puts China at 300.000+ excess death since Covid, compared to their official "4000" number
    • It's kinda funny how fragile the political propaganda machine is there. 300K deaths over a population of 1.4B would be considered a huge success comparitively but they have to keep a wild and completely unreasonable number instead.

      "A+?? You know a D turns into a B so easily. You just got greedy. "

    • I'll point out that even excess mortality numbers also ultimately come from the national governments. So even the 300,000 number you cite is likely a huge underestimate. The Chinese Communist party isn't stupid- they know people will look at those excess mortality numbers and associate it with Covid.

      The truth is we'll never know how many people actually died of Covid because various governments around the world have vested interests in hiding the scale of the problem. That's certainly part of the reason one

    • That doesnt logically make sense. I hope you mean the sum of all deaths including excess deaths and covid deaths.

    • That is impressive. So their strategy worked. I mean they are 1.4 billion and 300K death... Compare to 330 Millions USA and nearly 1 million death. That is about a factor 14 time more excess death in the US , if I calculate that correctly ?
  • we too could have only had 17 covid deaths... ..and millions more non-covid deaths, among government agents who tried to enforce such a lockdown.

  • by Gavino ( 560149 ) on Friday April 22, 2022 @06:34AM (#62468164)
    The Emperor has no clothes. Stop pretending that China is a functional society with checks and balances, and that anything out of those dirtbags (the CCP) can in any way be remotely believable. "China's stats are questionable" Oh my fucking God - news at 9!!
    • Correct. they do not have checks or use much cash, they use payment apps as those are easier for the state to track...

      But I am sure they use balances like other places..

      There are several things that the CCP says that are believable.

      I opened the front page of Global times, one of their primary mouth pieces and of the front page had 52 story headlines.

      And at least following headlines seemed believable:
      1) End of an era as streaming giant Netflix faces stagnation issues
      2) Composer Harrison Birtwistle dead at 8

  • China may be overly strict in counting cases, but some western countries are overly generous. Now, I do expect that the severe lockdowns will help containment, and not to be overlooked is that most citizens of Shanghai were well vaccinated. The Chinese traditional vaccine is less effective at keeping illness away, but is still tremendously good at preventing death (based on statistics of pfizer vs sinovac here in hong kong)
    • Shouldn't the CCP prefer to have an overcount of deaths in order to help justify their extreme response measures with their population? I mean, in upper-middle-class Shanghai if the citizens believed that the disease was more deadly than it is they may be more compliant with the oppression.
      • Re:Balance (Score:4, Interesting)

        by fazig ( 2909523 ) on Friday April 22, 2022 @07:40AM (#62468342)
        That's not how those regimes usually operate.

        They might resort to such methods only if the truth has become unfeasible expensive to deny. Because in restoring to such a method it can be interpreted as weakness of the government in protecting the citizens from a threat. So they're usually avoiding that at all cost unless they can find a good external or even internal (think of groups like Uyghurs) scapegoat/boogeyman they can pin the blame on.

        Otherwise the modus operandi is going to be playing things down and denial to keep up the political strongmanish facade.
        That and cum hoc/post hoc reasoning combined with a bit of "not as bad as" more along time lines of "Look how well our measures are working compared to other countries (cherry pick very bad example). This is because of our measures. Our measures are keeping you safe. Our measures are scientifically justified!".
        • Yeah, as I think about it more with the CCP not having to deal with the costs and risks of habeas corpus they can simply 'disappear' people who don't comply. Control by fear with no repercussion for the CCP. In the U.S. (where habeas corpus is codified in law) the govt is motivated to exaggerate the risk in order to manipulate people into complying.
    • China may be overly strict in counting cases, but some western countries are overly generous

      Which ones? Point to just one nation whose covid stats show more covid deaths than can be accounted for by looking at excess deaths, at a time when other kinds of deaths were generally down due to reduced activity.

      • Looking at excess deaths most countries seem to under count.

        Though in case of China, it is hard to say how much they under count(but it is a lot) because the fiction they call statistics does not resemble the truth enough to make any reasonable guesses.

  • Maybe it's not such a good idea to ditch the masks everywhere else just yet.

  • #ColdWarFeelingsAllOverAgain
  • It Works Both Ways (Score:2, Insightful)

    by Vandil X ( 636030 )
    Seasonal flu cases suddenly dropped/disappeared in 2020-2021. Why? Because those cases were reported as Covid-19.

    I'm absolutely certain the flu deaths those years were reported as Covid deaths.
    • by EvilSS ( 557649 ) on Friday April 22, 2022 @08:43AM (#62468514)

      Seasonal flu cases suddenly dropped/disappeared in 2020-2021. Why?

      Because everyone was locked down, social distancing, not traveling, and wearing masks.

      • by rgmoore ( 133276 )

        I'd want to check the stats, but I wouldn't be surprised if the flu vaccination rate was higher, too. A lot of people skip getting the flu vaccine because they see the flu as less serious and the side effects of the vaccine as bad enough it just isn't worth the trouble. But ordinary people were thinking about it more, and businesses were more vigorous than usual in requiring their employees get vaccinated.

    • Because we had barely any flu transmission given that it a virus that is far harder to transmit than COVID. Now here's the kicker: This seasons flu vaccine is effectively worthless, why? Because there were so few actual flu cases (not just your stupid reported as COVID conspiracy) but actual flu cases that we couldn't even build an accurate statistical model of the likely strains which would spread this season, and when guessing they got the strains wrong.

      The hallmarks of a good conspiracy is that someone s

  • If there were only 17 deaths out of 400,000 infections. Than, apologies, we need to nuke China off the map. Because the ONLY way that could actually occur is if the China had in fact genetically engineered the virus to target specific genetic markers not commonly found in Chinese ethnicities.

    I really do not believe China is able to do such, and am much more likely to believe that China, as seems to be the case with many other totalitarian regimes is reporting false metrics. Occum's razor...

  • Is this article trying to say that somebody who died of something other than COVID should be counted as a COVID death?

  • People are not saints, and they are subject to pressure and incentives. If the incentive is to keep the people in power, you minimize the crisis and/or make it look like you've got a handle on it. If the incentive is to remove people from power, you make it look as bad as possible so they appear weak and foolish.
  • Everyone has had to have the DMV, the post office, or City Hall correct some error. It's never an easy fix, given the antiquated or overly-complicated systems government uses, combined with the apathy from and lack of consequences for government workers.

    Now, imagine such an error keeping your locked down family from getting food or medicine delivered. That is the scene in China right now. People are starving, even committing suicide, from these lockdown measures. The police enforcing these measures are

  • Really? So what - counting the road accident victims infected with "covid" at the time of death as "covid" victims is better? Of course, if you have financial interests in the crisis, then sure...How come the common flu never received the same level of attention while killing (mainly indirectly) so many people every year?

    The only way to get the humans out of the mental crisis we are in right now is get back to the objective and scientific way of measuring the crisis. But, of course, if we ever get there, th

  • Alex Jones of infowars has more credible news & information when it comes to the corona virus pandemic

    Fauci and the MSM have lost what little credibility they had
    • Alex Jones of infowars has more credible news & information when it comes to the corona virus pandemic

      Fauci and the MSM have lost what little credibility they had

      I think you need to ask Fauci how much your mental capacity is affected by whatever you're smoking.

      • The same goes for the CDC & wHO, they have shown they are run by incompetent clowns owned by big pharma
  • Okay, perhaps I have a typically North American outlook, but I'm not aware of ANY numbers provided by China on any topic that aren't immediately questioned - and eminently questionable.

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