The death toll for Covid-19 in Nembro, Italy

In Nembro the almost deserted streets, the absent traffic, a strange silence is sometimes interrupted by the siren of an ambulance that carries with it the anxiety and worry that fill the hearts of all in these weeks. In Nembro every member of the community continuously receives news that he never wanted to hear, every day we lose people who were part of our lives and our community. Nembro, in the province of Bergamo, is the municipality most affected by Covid-19 in relation to the population. We do not know exactly how many people have been infected, but we know that the number of deaths officially attributed to Covid-19 is 31. We are two physicists: one who became an entrepreneur in the health sector, the other a mayor, in close contact with a very cohesive territory, where we know each other very well. We noticed that something in these official numbers did not come back right, and we decided - together - to check. We looked at the average of the deaths in the municipality of previous years, in the period January - March. Nembro should have had - under normal conditions - about 35 deaths. 158 people were registered dead this year by the municipal offices. That is 123 more than the average. Not 31 more, as it should have been according to the official numbers of the coronavirus epidemic.

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The difference is enormous and cannot be a simple statistical deviation. Demographic statistics have their «constancies» and annual averages change only when completely «new» phenomena arrive. In this case, the number of abnormal deaths compared to the average that Nembro recorded in the period of time in consideration is equal to 4 times those officially attributed to Covid-19. If a comparison is made between the deaths that have occurred and the same period in previous years, the anomaly is even more evident: there is a peak of «other» deaths in correspondence with that of the official deaths from Covid-19.

In the hypothesis - not at all remote - that all citizens of Nembro have caught the virus (with many asymptomatic, therefore), 158 deaths would equate to a lethality rate of 1%. That is precisely the expected and measured lethality rate on the Diamond Princess cruise ship and - made proportionally by demographic structure - in South Korea. We have made exactly the same calculation for the municipalities of Cernusco sul Naviglio (Mi) and Pesaro using exactly the same methodology. In Cernusco the number of anomalous deaths is equal to 6.1 times those officially attributed to Covid-19, also in Pesaro 6.1 times. But even more staggering are the Bergamo figures, where the ratio reaches 10.4.

It is extremely reasonable to think that these excess deaths are largely elderly or frail people who died at home or in residential facilities, without being hospitalized and without being swabbed to verify that they have actually become infected with Covid-19. Given the decline seen in the last few days after the peak, flock immunity has likely been attained in Nembro. To a certain degree, Nembro represents what would happen in Italy if everyone were infected by CoronaVirus, Covid-19: 600,000 people would die. The numbers of Nembro also suggest that we must take those official deaths and multiply them by at least 4 to have the real impact of Covid-19 in Italy, at this moment.

Our suggestion, therefore, is to take the data of the individual municipalities where there have been at least 10 official deaths due to Covid-19 and check if it corresponds to real deaths. Our fear is that not only the number of infected people have been largely underestimated due to the low number of swabs and tests carried out, and therefore the number of asymptomatics from the statistics have «disappeared», but that the case is also – through the data of the Municipalities - that of the dead. We are in the midst of an epoch-making event and to fight it we need credible data on the reality of the situation, disclosed transparently among all the experts and people who have to manage the crisis responsibly. Based on these data we can understand and decide what is right to do when it is required.

Claudio Cancelli is the Mayor of Nembro
Luca Foresti is the CEO of Centro Medico Santagostino

26 marzo 2020 (modifica il 26 marzo 2020 | 10:13)

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from Hacker News https://www.corriere.it/politica/20_marzo_26/the-real-death-toll-for-covid-19-is-at-least-4-times-the-official-numbers-b5af0edc-6eeb-11ea-925b-a0c3cdbe1130.shtml