The World Health Organization has said that many countries would likely follow China in revising up their death tolls once they start getting the coronavirus crisis under control.
Wuhan, the COVID-19 epicentre, admitted missteps in tallying its death toll, abruptly raising the city's count by 50 percent -- following growing world doubts about Chinese transparency over the outbreak.
The WHO said on Friday Wuhan had been overwhelmed by the virus, which emerged in the city in December, and the authorities had been too swamped to ensure every death and infection was properly recorded.
Authorities in Wuhan initially tried to cover up the outbreak, punishing doctors who had raised the alarm online, and there have been questions about the government's recording of infections as it repeatedly changed its counting criteria at the peak of the crisis.
"This is something that is a challenge in an ongoing outbreak: to identify all of your cases and all of your deaths," Maria van Kerkhove, the WHO's COVID-19 technical lead, told a virtual press conference in Geneva.
"I would anticipate that many countries are going to be in a similar situation where they will have to go back and review records and look to see: did we capture all of them?" She said the Wuhan authorities had now reviewed their databases and cross-checked for discrepancies.
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Wuhan added 1,290 deaths to its toll, raising the total to 3,869, and added a further 325 cases, bringing the number of infections to 50,333.
Van Kerkhove said that because Wuhan's healthcare system was swamped, some patients died at home; others were in makeshift facilities; and that medics, focused on treating patients, therefore did not do the paperwork on time.
Michael Ryan, the WHO's emergencies director, added: "All countries will face this".
But he urged nations to produce precise data as early as possible, "because that keeps us on top of what the impact is, and allows us to project forward in a much more accurate way."
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