The death toll due to COVID-19 in the State took a
huge leap this week, not because the number of cases suddenly rose, but because over two days72 deaths that occurred between August 2020
and June 2021 were added to the number. These deaths occurred at private hospitals and were not reported to the State health authorities that led to the underreporting ofpandemic fatalities. The government has now issued notices
of show cause to ten private hospitals for the delay in reporting the COVID-19 deaths and has threatened action against the hospitals. The delay in reporting came to lightfollowing a verification exercise.
In a State where it is mandatory for hospitals and nursing homes to register every birth and every death with thelocal authority, this delay in reporting is surprising. Not
surprising is that the Association of Private Nursing Homes has categorically stated that there was no deliberate attempt to hide deaths as there is nothing to be gained byhospitals in not reporting. Besides, the association added,
every death certificate has the cause of death without which no final rites can take place. Therefore, where did the delay in reporting occur? Was it with the hospitals or was it an administrative lapse with the State authorities? Yet, in the current pandemic situation where the death toll has come close to 2900 cases, the under reporting is the least pressing of the issues. No doubt the private hospitals will have to explain why there was this delay andgovernment can take action, the fact that the government
corrected the figures adding the deaths to the total toll does signify that there is an attempt not to fudge figures. In a small State like Goa, deaths would be difficult to hide, and it is interesting that the Chief Minister Dr Pramod Sawant says that Goa is the only State in the country which has recorded every single Covid death, which led to the impression that the State had a high mortality rate when compared to other States. But when he says that, is he allegingthat other States have not been revealing the correct mortality figures?
Underreporting of COVID-19 deaths in India has comein the focus, with a US university study suspecting that
COVID-19 deaths in India could be three times the recorded number. India, however, is not the only country that has been the focus of study for underreportingCOVID-19 fatalities with the United States, United Kingdom
and Russia also in this list. Across the world the number of deaths is estimated to be over 100 per cent of those recorded. Goa, in this performs better with even deaths inhome isolation reported. “There is not a single COVID
death which has not been recorded in PHCs,” the Chief Minister said. But, that may not be the case in all States as National media reports have counted far more burials andcremations on a single day than the number of deaths
recorded by States and there have been half cremated bodies washed ashore in Bihar. The importance of having the correct figures of cases and deaths is not to frighten the people or cause gloom in a society that is already struggling with the pandemic, but to help the government prepare to meet what is coming next.India, as did Goa, relaxed after the first wave, but the shattering
second wave has alerted the State to already strengthen the health infrastructure for the predicted third wave. The number of deaths in Goa that remained unreportedwas not that huge, but it still makes a difference. It
also raises the possibility of positive cases that may have gone unreported, and this is a concern. If now in Goa every death has been reported, has also every case been reported?