Istanbul deaths suggest a wider outbreak than Turkey admits/the true death toll may be much higher.

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Turkey has surpassed China in its number of confirmed coronavirus cases, as the tally rose to more than 90,000 by Monday, with deaths reaching at least 2,140, according to official government figures. But the true death toll may be much higher.

Officers and relatives carried a coffin in a special area of a cemetery that the government opened for coronavirus cases in Istanbul in late March.
Credit…Bulent Kilic/Agence France-Presse — Getty Images

Turkey has surpassed China in its number of confirmed coronavirus cases, as the tally rose to more than 90,000 by Monday, with deaths reaching at least 2,140, according to official government figures. But the true death toll may be much higher.

Data compiled by The New York Times from records of deaths in Istanbul indicate that Turkey is grappling with a far bigger calamity from the coronavirus than official figures and statements indicate. The city alone recorded about 2,100 more deaths than expected from March 9 to April 12, based on weekly averages from the last two years, far more than officials reported for the whole of Turkey during that time.

While not all those deaths are necessarily directly attributable to the coronavirus, the numbers indicate a striking jump in fatalities that has coincided with the onset of the outbreak, a preliminary indicator that is being used by researchers to cut through the fog of the pandemic and assess its full toll in real time.

The government maintains that it acted swiftly, stopping flights and border crossings from five of the most affected countries in February and closing schools, restaurants and bars in mid-March when the first case of infection was confirmed.

But by then, the statistics compiled by The Times show, the damage was done. And medical professionals say that Turkey did not do enough to halt international travelers, and neglected contact tracing and community care.

In February, they did nothing, although it was known the disease was there,” Dr. Sinan Adiyaman, head of the Turkish Medical Association, said in an interview.

The government announced its first death from Covid-19 on March 17. But the statistics compiled by The Times suggest that even around that time, the number of deaths overall in Istanbul was already considerably higher than historical averages, an indication that the virus had arrived several weeks earlier.

Any death statistics in the midst of a pandemic are tricky to pin down and must be considered preliminary. Many European countries are engaged in trying to improve their death statistics, which they now acknowledge are incomplete.

COUNTING CASES:

Coronavirus cases have ballooned in Istanbul and Izmir, big cities with international business and tourism connections, amid questions about Turkey’s statistics.

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