locations, testing for some time was performed only on symptomatic people with a history of travel to Wuhan or with close contact to such people. Until February 28, 2020, CDC testing protocols allowed tests only for people who had traveled to China. In early 2020, deaths from all causes exceeded the seasonal average, and data from early 2020 suggest additional deaths that were not counted in official reported coronavirus mortality statistics. ^ This figure is an estimate from the Texas Department of State Health Services.^ Case and death figures in this chart for Florida include residents and non-residents.If a state only reports total cases from suspect COVID-19 cases, then cumulative hospitalizations from suspect cases are used.
![cdc 2020 death totals cdc 2020 death totals](https://saidit.net/media/xQ1uHXUrfBsG5vfQezWEjnx2-sfzzQxpnvqrg2hzAcc.jpg)
![cdc 2020 death totals cdc 2020 death totals](https://www.sott.net/image/s28/568327/full/total_deaths_by_year.jpg)
From March 1, 2020, through the end of 2020, there were 522,368 excess deaths in the United States, or 22.9% more deaths than would have been expected in that time period. One way to estimate COVID-19 deaths that includes unconfirmed cases is to use the excess mortality, which is the overall number of deaths that exceed what would normally be expected. The true COVID-19 death toll in the United States would therefore be higher than official reports, as modeled by a paper published in The Lancet Regional Health – Americas. The CDC estimates that, between February 2020 and September 2021, only 1 in 1.3 COVID-19 deaths were attributed to COVID-19. The CDC publishes official numbers of COVID-19 cases in the United States.
![cdc 2020 death totals cdc 2020 death totals](https://sanjuanislander.com/images/charts/health/2020-june_coronavirus_infections.jpg)
Map of cumulative COVID-19 death rates by US state.