Intended for healthcare professionals


Covid-19: Russia admits to understating deaths by more than two thirds

BMJ 2020; 371 doi: (Published 31 December 2020) Cite this as: BMJ 2020;371:m4975

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  1. Owen Dyer
  1. Montreal

Russia’s true death toll from the novel coronavirus pandemic is not about 57 000, as official figures claim, but more than 180 000, the country’s deputy prime minister, Tatiana Golikova, conceded at a press conference.

Russia’s claims of an extraordinarily low mortality have been widely dismissed as implausible for months by foreign observers and Russian doctors alike. Every other indicator, from packed hospitals with long lines of ambulances to mortality among health workers documented by their own associations, has painted a picture of a country hit hard by the pandemic, not one miraculously spared.

These suspicions were confirmed when the Rosstat statistics agency said on 28 December that the number of deaths from all causes recorded between January and November was 229 700 higher than in 2019. “More than 81% of this increase in mortality over this period is due to covid,” said Golikova. That would mean that more than 186 000 Russians have died from covid-19.

The figures mean Russia ranks third in the world in terms of deaths from covid-19, behind only the US and Brazil. It would also give Russia the fourth highest per capita death rate, about 1273 deaths per million population, behind only San Marino, Belgium, and Slovenia.

But the higher figures, which are estimated from numbers of excess deaths, may never find their way into official statistics of the pandemic. The director of Mexico’s National Centre for Preventive Programs and Disease Control made a similar announcement in October, telling a press conference that the country had undercounted deaths by more than 50 000. In that case the new estimate was based on individual review of death certificates—yet the extra deaths have never been added to Mexico’s official count.1

A wide discrepancy between Russian cities’ accurate counts of deaths from all causes and the official national covid-19 mortality figures has been evident since the beginning of the pandemic.2 The low official figure was generated by only reporting deaths in which novel coronavirus infection was identified on autopsy.

From the beginning the official numbers drew widespread scorn from Russian doctors, who on social media painted a far grimmer picture, often mourning deaths in their own ranks from lack of personal protective equipment. A privately maintained list of Russian medical staff who lost their lives fighting the pandemic now stands at over 1000 names.3

Three doctors who raised concerns about the country’s response mysteriously fell from windows in the early months of the pandemic.4 Anastasia Vasilyeva, the head of the doctors’ union Alyans Vrachei (Doctors’ Alliance), an opposition linked group that has criticised pandemic preparations, was arrested and beaten by police when she attempted to deliver PPE to a hospital near Novgorod.5

The deputy prime minister’s admission will embarrass President Vladimir Putin, who has favourably compared Russia’s response to those of other countries, on the basis of its supposed low death rate. Putin later appeared somewhat chastened, telling regional governors in one televised meeting in May that “we don’t have much to brag about.”

But the imminent prospect of mass immunisation with Russia’s Sputnik vaccine has recently seen Putin again touting his country’s response, even as he personally adopts a wary attitude to the virus. He has spent much of the past year secluded at his dacha outside Moscow, and visitors to the president must first walk through a specially constructed corridor in which they are sprayed from all sides with disinfectant.

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