US has hit 1 million COVID deaths, but the number is likely higher

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US has hit 1 million COVID deaths, but the number is likely higher
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Excess mortality estimates are markedly higher than the official toll.

deaths on Thursday, according to the White House, but researchers say the actual pandemic death toll -- including people who died from the pandemic's collateral damage -- is actually much higher.MORE: 'Unthinkable tragedy': U.S. COVID-19 death toll surpasses 1 million

Using excess mortality estimates, a recent analysis in The Lancet found that by the end of last year, the number of people who died in the United States because of the pandemic was almost 40% higher than the official US COVID death toll of 820,000.Boston Globe via Getty Images “There can be a gray area when it comes to coding a death and attributing it to COVID, particularly when someone may have been infected weeks to months prior” said John Brownstein, Ph.D., an epidemiologist and chief innovation officer at Boston Children’s Hospital. He is also an ABC News medical contributor.Excess mortality has been used for decades by epidemiologists to understand the impact of various infectious diseases.

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