[Of] 787 counties with more than 20 Covid-19 deaths from Feb. 1 to Oct. 17, 2020, found that while there were 199,124 official Covid-19 deaths in that time period, an additional excess 88,142 deaths weren’t attributed to the virus. Some of these excess deaths are likely due to factors that were exacerbated by the pandemic, such as overdoses and suicide in response to isolation and economic hardship, or subpar health care in an overrun system. But researchers believe many are Covid-19 deaths that go uncounted. Overall, the true Covid-19 death toll is 31% higher than official figures, according to the study, which has been submitted to PLOS Medicine.