Excess deaths reveal the true spatial, temporal and demographic impact of COVID-19 on mortality in Ecuador.
Leticia CuéllarIrene TorresEthan Romero-SeversonRiya MaheshNathaniel OrtegaSarah PungitoreNicolas HengartnerRuian KePublished in: International journal of epidemiology (2021)
Overall, the exceptionally high level of excess deaths in Ecuador highlights the enormous burden and heterogeneous impact of COVID-19 on mortality, especially in older age groups and Indigenous populations in Ecuador, which was not fully revealed by COVID-19 death counts. Together with the limited testing in Ecuador, our results suggest that the majority of the excess deaths were likely to be undocumented COVID-19 deaths.