Global distribution of estimated excess mortality rate due to the COVID-19 pandemic, for the cumulative period 2020–21. Although reported COVID-19 deaths between 1 January 2020 and 31 December 2021 totaled 5.94 million worldwide, IHME estimates that 18.2 million (95 percent uncertainty interval 17.1–19.6) people died worldwide because of the COVID-19 pandemic over that period, as measured by excess mortality. Graphic: Wang, et al., 2022 / The Lancet
Global distribution of estimated excess mortality rate due to the COVID-19 pandemic, for the cumulative period 2020–21. Although reported COVID-19 deaths between 1 January 2020 and 31 December 2021 totaled 5.94 million worldwide, IHME estimates that 18.2 million (95 percent uncertainty interval 17.1–19.6) people died worldwide because of the COVID-19 pandemic over that period, as measured by excess mortality. Graphic: Wang, et al., 2022 / The Lancet

By Maria Cheng
5 May 2022

LONDON (AP) – The World Health Organization estimates that nearly 15 million people were killed either by coronavirus or by its impact on overwhelmed health systems during the first two years of the pandemic, more than double the current official death toll of over 6 million.

Most of the deaths occurred in Southeast Asia, Europe and the Americas, according to a WHO report issued Thursday.

The U.N. health agency’s director-general, Tedros Adhanom Ghebreyesus, described the newly calculated figure as “sobering,” saying it should prompt countries to invest more in their capacities to quell future health emergencies.

WHO tasked scientists with determining the actual number of COVID-19 deaths between January 2020 and the end of last year. They estimated that between 13.3 million and 16.6 million people died either due to the coronavirus directly or because of factors somehow attributed to the pandemic’s impact on health systems, such as cancer patients who were unable to seek treatment when hospitals were full of COVID patients.

Based on that range, the scientists came up with an approximated total of 14.9 million.

A relative of a person who died of COVID-19 is consoled by another during cremation in Jammu, India, Sunday, 25 April 2021. On 5 May 2022, the World Health Organization announced its estimate that nearly 15 million people were killed either by the coronavirus or by its impact on overwhelmed health systems in two years, more than double its official death toll. The U.N. health agency says most of the fatalities were in Southeast Asia, Europe and the Americas. WHO chief Tedros Adhanom Ghebreyesus described the figure as “sobering”. Photo: Channi Anand / AP Photo
A relative of a person who died of COVID-19 is consoled by another during cremation in Jammu, India, Sunday, 25 April 2021. On 5 May 2022, the World Health Organization announced its estimate that nearly 15 million people were killed either by the coronavirus or by its impact on overwhelmed health systems in two years, more than double its official death toll. The U.N. health agency says most of the fatalities were in Southeast Asia, Europe and the Americas. WHO chief Tedros Adhanom Ghebreyesus described the figure as “sobering”. Photo: Channi Anand / AP Photo

The estimate was based on country-reported data and statistical modeling, but only about half of countries provided information. WHO said it wasn’t yet able to break down the data to distinguish between direct deaths from COVID-19 and those related to effects of the pandemic, but the agency plans a future project examining death certificates.

“This may seem like just a bean-counting exercise, but having these WHO numbers is so critical to understanding how we should combat future pandemics and continue to respond to this one,” said Dr. Albert Ko, an infectious diseases specialist at the Yale School of Public Health who was not linked to the WHO research.

For example, Ko said, South Korea’s decision to invest heavily in public health after it suffered a severe outbreak of MERS allowed it to escape COVID-19 with a per-capita death rate around a 20th of the one in the United States.

Accurately counting COVID-19 deaths has been problematic throughout the pandemic, as reports of confirmed cases represent only a fraction of the devastation wrought by the virus, largely because of limited testing. Government figures reported to WHO and a separate tally kept by Johns Hopkins University show more than 6.2 million reported virus deaths to date.

Scientists at the Institute of Health Metrics and Evaluation at the University of Washington calculated for a recent study published in the journal Lancet that there were more than 18 million COVID deaths from January 2020 to December 2021.

Screenshot of the Johns Hopkins University (JHU) COVID-19 Dashboard on 7 May 2022. More than 6.25 million people were reported killed by COVID-19 among more than 516 million cases. On 5 May 2022, WHO reported new estimates showing that the full death toll associated directly or indirectly with the COVID-19 pandemic (described as “excess mortality”) between 1 January 2020 and 31 December 2021 was approximately 14.9 million (range 13.3 million to 16.6 million). Graphic: JHU
Screenshot of the Johns Hopkins University (JHU) COVID-19 Dashboard on 7 May 2022. More than 6.25 million people were reported killed by COVID-19 among more than 516 million cases. On 5 May 2022, WHO reported new estimates showing that the full death toll associated directly or indirectly with the COVID-19 pandemic (described as “excess mortality”) between 1 January 2020 and 31 December 2021 was approximately 14.9 million (range 13.3 million to 16.6 million). Graphic: JHU

A team led by Canadian researchers estimated there were more than 3 million uncounted coronavirus deaths in India alone. WHO’s new analysis estimated that missed deaths in India alone ranged between 3.3 million to 6.5 million.

In a statement following the release of WHO’s data, India disputed the U.N. agency’s methodology. India’s Health and Family Welfare Ministry called the analysis and data collection methods “questionable” and complained that the new death estimates were released “without adequately addressing India’s concerns.”

Samira Asma, a senior WHO director, acknowledged that “numbers are sometimes controversial” and that all estimates are only an approximation of the virus’ catastrophic effects.

“It has become very obvious during the entire course of the pandemic, there have been data that is missing,” Asma told reporters during a press briefing on Thursday. “Basically, all of us were caught unprepared.” […]

Dr. Bharat Pankhania, a public health specialist at Britain’s University of Exeter, said the world may never get close to measuring the true toll of COVID-19, particularly in poor countries.

“When you have a massive outbreak where people are dying in the streets because of a lack of oxygen, bodies were abandoned or people had to be cremated quickly because of cultural beliefs, we end up never knowing just how many people died,” he explained. [more]

WHO: Nearly 15 million deaths associated with COVID-19