May 22, 2020

In Tijuana, paramedics uncover a hidden death toll not captured in COVID-19 statistics

By admin

By mapping where most in-home deaths were occurring, researchers found that the rates of people dying at home were highest in the city’s poorest neighborhoods. As of this week, municipalities where few or no coronavirus cases have been confirmed are allowed to resume commerce, school and other activities. “There’s not great mortality data for Latin America, but all kinds of cities could be doing this analysis,” he said. This week, a nonprofit anti-corruption group said it found 4,577 cases in Mexico City in which death certificates linked the coronavirus to fatalities between March 18 and May 12. That report found that at-home deaths had increased by 58% during the peak of the epidemic. Data analyzed by The Times showed that 10% of the country’s confirmed COVID-19 deaths occurred outside a hospital. Eva Tovar Hirashima, medical director for the organization’s team of paramedics.The rescuers also noticed an increase in patients with respiratory symptoms and with very low oxygen rates, she said.Researchers began analyzing 911 data, basing their methodology on an academic study carried out in Italy’s Lombardy region during the coronavirus outbreak there. When the researchers examined the data for the months of January and February, they saw no significant differences between 2020 and past years. Advertisement

The debate over data comes as the government begin a gradual reopening of the economy. It’s hard to say

In cities across Mexico, morgues are full and funeral homes are jammed but nobody knows for sure how many people have died in the COVID-19 pandemic. Francisco Tenorio, center, speak to a patient. 

(Marcus Yam / Los Angeles Times)


Dr. Advertisement

Still, Joseph Friedman, a medical student at UCLA who worked on the report, said he hopes the model will be expanded across Mexico and to other countries with low levels of testing and poor data collection. Advertisement

Most of the COVID-19 deaths tallied by officials occur in hospitals — whereas many people who die at home are buried without ever being tested for the disease.The question of how many people are dying of COVID-19 in Mexico has sparked a heated debate, with government critics complaining that the country lacks a clear picture of a growing crisis. factories in Mexico are still open. Alan Muro with a patient. 

(Marcus Yam / Los Angeles Times)


Putting a patient into an ambulance. 

(Marcus Yam / Los Angeles Times)


Paramedics Michael Zavala, left, and Ivan Mora with a patient on a Tijuana street. 

(Marcus Yam / Los Angeles Times)


Dr. Alan Muro on a call. 

(Marcus Yam / Los Angeles Times)

The study did not try to determine the cause of the extra deaths. Francisco Tenorio, right, awaits an ambulance. 

(Marcus Yam / Los Angeles Times)


Dr. And several major industries, including auto manufacturing and mining, that have been declared essential have been given the green light to reopen. In Tijuana, paramedics uncover a hidden death toll not captured in COVID-19 statistics

Red Cross paramedic Sergio Garcia checks for a pulse as he tries to resuscitate Maria Ruiz Olmedo, 71, as family members watch at their Tijuana home in April 2020.(Marcus Yam / Los Angeles Times)

By Kate Linthicum, Patrick J. Primary care doctors at the clinic have been instructed to look closely at blood oxygen levels, which are an important indicator of COVID-19.It’s unclear to what degree the results of the Tijuana study can be applied to the rest of Mexico. 1/21

Paramedic Sergio Garcia talks with Georgina Barajas Rios after her mother, Maria Ruiz Olmedo, died. 

(Marcus Yam / Los Angeles Times)


Family members look on as paramedic Sergio Garcia tries to resuscitate Maria Ruiz Olmedo, 71, in her Tijuana home. Advertisement

During the study period, paramedics responded to 321 patients suffering respiratory symptoms, compared with the 86 that would be expected based on previous years’ data. That approach has not been possible in Mexico, because the country has a two-year lag time in publishing data on deaths. Print


Researchers who reviewed emergency response records in Tijuana have discovered scores of possible coronavirus deaths that never made it into official statistics.Over four weeks in April and May, paramedics encountered 329 people who died in their homes or in ambulances — more than twice the number that would be expected based on data from recent years.Over the same period, the Mexican government reported just eight official COVID-19 deaths in Tijuana that occurred outside hospitals.The study — which was published online this week by researchers at UCLA, Mexico’s Red Cross and several other institutions and has not been peer-reviewed — suggests the country may be missing large numbers of coronavirus victims in its official counts. Alan Muro put on personal protective equipment. 

(Marcus Yam / Los Angeles Times)


Ivan Mora, left, and Dr. Alan Muro and Sergio Garcia respond to a call of domestic violence. 

(Marcus Yam / Los Angeles Times)


Dr. But Red Cross data made clear that Tijuana is in the grips of the pandemic. She had exhibited COVID-19 symptoms. 

(Marcus Yam / Los Angeles Times)


Federico Perez Ramirez attends to an emergency call in which a patient reportedly was having trouble breathing. 

(Marcus Yam / Los Angeles Times)


Paramedic Ivan Mora talks to a family member of a patient who wanted to be taken to a hospital. 

(Marcus Yam / Los Angeles Times)


Paramedics prepare to take Eduardo Molina, 41, to the hospital. 

( Marcus Yam / Los Angeles Times)


Guillermo Molina tears up as paramedics prepare to take his brother Eduardo to the hospital. 

(Marcus Yam / Los Angeles Times)


Paramedics with Eduardo Molina on a stretcher. 

(Marcus Yam / Los Angeles Times)


Paramedic Sergio Garcia packs up his equipment after determining that he could not resuscitate an elderly man. 

(Marcus Yam / Los Angeles Times)


Dr. It’s hard to say

World & Nation

How many people are dying of coronavirus in Mexico? Juan Carlos Mendez, EMS chief for the Tijuana Red Cross, said his teams have responded to fewer patients who died in their homes over the last week compared with the weeks included in the study.But that does not mean residents should ignore social distancing measures, he said. Advertisement

Tovar said Mexico needs rapid information about the true toll of COVID-19 to help officials make decisions about social distancing measures and how to best deploy doctors and nurses.“In a country with a health system this fragile, you have to know overall deaths,” she said. “We can’t let our guard down.”

Times staff writer Ryan Menezes in Los Angeles contributed to this report. Advertisement

World & Nation

U.S. factories in Mexico are still open. Blood oxygen levels for those patients averaged 78% this year, far worse than the 2019 average of 90%.Many of the efforts to track COVID-19 deaths in Mexico have been anecdotal, and based on reviews of death certificates. In parts of the nation, hospitals are nearing capacity and funeral homes are struggling to keep up — anecdotal evidence that suggests the official confirmed death toll of 6,510 is too low. The authors of the study shared their data with Baja California health officials, who responded by opening a new clinic in Mariano Matamoros, a neighborhood on the eastern edge of the city that saw the biggest increase in deaths compared with previous years. Advertisement

Government authorities have acknowledged that some deaths are not counted because they have not been confirmed by tests, which have been in short supply.In other countries, researchers have estimated the true toll by looking at deaths of all types during the pandemic and comparing that figure to the totals during the same months in previous years. The authors of the new study realized there was another data source that might begin to help them answer key questions. Alan Muro after his car accident. 

(Marcus Yam / Los Angeles Times)


Paramedics Federico Perez Ramirez and Valeria de la Torre Beaven. 

(Marcus Yam / Los Angeles Times)


Paramedic Axel Cuevas puts on a protective suit. 

(Marcus Yam / Los Angeles Times)


Tending to a patient. 

(Marcus Yam / Los Angeles Times)


Sergio Garcia, left, and Dr. Advertisement

In Tijuana, the researchers looked at at-home deaths as well as those in ambulances between April 14 and May 11 and then compared this year to the previous five years.Excluding deaths that occurred in accidents, homicides or other forms of trauma, the average for those past years was 135 — or 95 fewer than in 2020. Advertisement

The Tijuana Red Cross, which handles 99% of emergency calls in the industrial border city of 1.8 million, maintains detailed logs of its activity. As the coronavirus spreads, workers are dying

Many of Mexico’s border factories are flouting orders to suspend operations, worsening the spread of the coronavirus. In mid-April, it saw a spike in the number of people who had died in their homes, according to Dr. That figure in Tijuana during the period of the study was just 3% — or 8 out of 262 officially confirmed deaths. As the coronavirus spreads, workers are dying

World & Nation

U.S. The official number of confirmed and suspected COVID-19 deaths in Mexico City during that period was 1,060 — less than a quarter of the cases cited in the report. Alan Muro takes a moment to collect himself after his Red Cross vehicle was in an accident. 

(Marcus Yam / Los Angeles Times)


Dr. World & Nation

How many people are dying of coronavirus in Mexico? “This is something that could be done with EMS data any place that has electronic files.”Brandon Brown, an epidemiologist at UC Riverside who was not involved in the study, said tracking emergency calls is one of the best techniques available.“With the lack of reliable surveillance data for COVID-19 deaths in many locations across the world, estimating mortality with EMS data may be the best indicator we have right now for the excess deaths caused by the pandemic,” he said. McDonnell

May 21, 20207:33 PM



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Copy Link URLCopied! The analysis counted cases where the disease was not confirmed but was described as a probable or likely cause.