![]() These increases may indicate, to some extent, underreporting of COVID-19, ie, limited testing in the beginning of the pandemic may have resulted in underestimation of COVID-19 mortality. However, increases were also noted for several other leading causes of death. Most of the increase in deaths from 2019 to 2020 was directly attributed to COVID-19. During the COVID-19 pandemic, changes in leading causes provide insight into the direct and indirect effects of the pandemic on mortality burden. Trends in mortality for leading causes of death are important indicators of shifting patterns in mortality. Understanding Mortality in the Context of a Pandemic
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