This survey[0] answers (in the affirmative) your question:
"During March 11–May 2, 2020, a total of 32,107 deaths were reported to DOHMH; of these deaths, 24,172 (95% confidence interval = 22,980–25,364) were found to be in excess of the seasonal expected baseline. Included in the 24,172 deaths were 13,831 (57%) laboratory-confirmed COVID-19–associated deaths and 5,048 (21%) probable COVID-19–associated deaths, leaving 5,293 (22%) excess deaths that were not identified as either laboratory-confirmed or probable COVID-19–associated deaths (Figure)."
To nitpick though, it does not quite answer the question of whether "the bodies were piling up" because totals exceeded pre-COVID processing capacity or because the processing chain broke down. That is, was the level during Spring of 2020 (higher than average Spring, your link shows it) also higher than previous spikes that included other seasons.
Could your place of employment handle a 2-month long, 5x spike? Would the processing chain break down? Would it make a difference which it was?
For example, if my employer promises not to reduce cafeteria service and a month later says "no cafeteria for employees today due to a conference; we cannot feed that many people; go away" a hungry employee should check if we had such spikes before and if so how well we did. If indeed it was a unique surge, OK. But if every year we have similar spikes and they never turned employees away, "we did reduce service" is a better explanation than "we cannot serve such volumes" :).
https://www.marketwatch.com/story/new-york-city-expands-morg...
"Without the makeshift morgues, the city can accommodate between 800 and 900 bodies, Aja Worthy-Davis, the executive director for the Office of Public Affairs for the Office of Chief Medical Examiner, told MarketWatch on Monday.
"“Between the tent and the refrigerated trucks, we have space for between 3,500 and 3,600,” Worthy-Davis said."
And then there's this, which is interesting....
https://www.cityandstateny.com/articles/policy/health-care/w...
"That unprecedented number of deaths over the course of a few months has led funeral homes to experience a backlog, which has, in turn, overwhelmed city and hospital morgues with bodies waiting to be picked up by funeral homes.
"For some in this business, the crisis has served as a reminder of just how much families need to have their deceased loved ones cared for with respect. “We got swamped and weren't able to offer services at the time,” D’Arienzo, the funeral director, said of the backlog funeral homes were experiencing. “Families were so desperate, it just ignited a fire under me to make sure that we're always prepared.”"
So the problem looks like funeral homes not picking up bodies. Which makes sense; I don't think they're in the processing capacity business.
https://www.theguardian.com/us-news/2020/apr/10/new-york-fun...
Has the interesting comment: "<p>New York’s governor, Andrew Cuomo, this week signed an executive order allowing out-of-state funeral directors to come into the state to help relieve pressure on funeral services. The move came after the <a href="https://www.nfda.org/news/in-the-news/nfda-news/id/4984/an-o..." data-link-name="in body link" class="u-underline">National Funeral Directors Association</a> wrote an open letter letter to the governor, saying hundreds of people were willing to help."
(Yeah, the Guardian doesn't want me to see the article.)
As you said, the problem seemed to be with funeral homes not picking up bodies. I wonder if this was primarily due to increased deaths (which I do not doubt) or restrictions that made the funeral homes not able or not willing to handle the funerals.
[0] https://www.nytimes.com/2020/04/29/nyregion/bodies-brooklyn-...
"During March 11–May 2, 2020, a total of 32,107 deaths were reported to DOHMH; of these deaths, 24,172 (95% confidence interval = 22,980–25,364) were found to be in excess of the seasonal expected baseline. Included in the 24,172 deaths were 13,831 (57%) laboratory-confirmed COVID-19–associated deaths and 5,048 (21%) probable COVID-19–associated deaths, leaving 5,293 (22%) excess deaths that were not identified as either laboratory-confirmed or probable COVID-19–associated deaths (Figure)."
During those roughly 2 months, there were 32,107 deaths; in a normal year there would be about 32,107 - 24,172 = 7,935 deaths. Normally, that would be ~100 deaths/day; during that time there were ~500 deaths/day. ("New York" deaths peaked at about 800/day, although I'm not sure if that was NYC or the state.)
Edit: Dang it. I'll leave this here anyway.
The correct question to ask is, "What is the cost of not sheltering in place?" The answer seems to be between two million and three million deaths in the US from COVID alone[0]. Of course, there would be even more deaths due to ICUs being full and even more acute shortages of PPE for medical personnel.
We would also experience profound second- and third-order effects of millions of additional deaths on the economy.
> should we... force video taped gym sessions and cardio exercises? require wearable monitors? prohibit admittance to public transport without a gym validation stamp or a doctor note?
I hope you've taken the opportunity to read this again. To be charitable, it does not meet the high standards I think we hold ourselves to at HN. People suffering from heart disease don't infect others with a potentially fatal virus.
Other countries have applied strict shelter in place and mask rules with great success. In the US, compliance with such rules has been made political, and questioning it--often with straw man arguments like those above--has become the mark of supposed contrarian rebels.
As a result we have something of the worst of both worlds. Sadly, as more Americans irresponsibly refuse to apply basic COVID safety measures, more people get infected, thus supplying rhetorical ammunition to critics like those in this thread.
https://www.washingtonpost.com/graphics/2020/health/coronavi...
This does not mean that the total estimates of 2-3M for the US are proven wrong. But it is a strong counterargument to that estimate that should be addressed if we base our response on the estimate of 2-3M of COVID deaths with no strict measures. My 2c.
I will also push back on your "compliment" to me of not meeting the high standards of HN (you note you are being charitable; I wonder what the "objective" characterization). You lecture me to re-read my post and think about my mistakes (at least that is how I understood it; if I understood it wrongly, sorry). I did re-read it and still see my questions as valid. If the answers to them are obvious, great; but this does not make asking them unethical. Sorry for this rant, I will take the downvotes for it if they come.
Sweden is actually seeing a second wave. Its death rate is still low.
* Are mask and shelter in place laws worthwhile to avoid two to three million additional deaths due to COVID?
Various countries had various levels of lockdown, and none had anywhere remotely close to that fraction of their population die.
Taking Brazil, they had about 62 excess deaths per 100k (who knew Brazil was so dangerous in general?). I'm rounding down because I can't be bothered getting a calculator, so using 50.
Taking this level of excess deaths and applying it to the US, we get 600k excess deaths (so 3x the reported total). Using the excess death numbers for the UK, 90 odd, and again lazily rounding, we'd get 1.2 mn excess deaths this year.
I think the OP's point was actually pretty reasonable, and will look much more accurate in a few years when we have better excess deaths data and (hopefully) this pandemic is over.
Was this because of the excess COVID deaths or just because some the services that normally handle deaths were deemed non-critical and so the chain of services that handle bodies just had glitches?
Or, to look at it scientifically, did the uptick in NYC deaths per week in March and April put the total deaths per week above, say, (average + 3 sigma) over the past couple of years. Honest question, I do not know this answer but knowing this would help put the numerical base behind an emotional statement.
For your second question, On your "how many" question: nobody I know says that 200k deaths do not constitute something worthy of attention. But on average, over 3 million people die per year in the US. 650k per year (according to CDC) just from heart disease, much of it preventable with better habits and good exercise.
If 200k deaths is enough to force major life restrictions on everyone (and spend over $5 trillion to limit economic fallout), should we bring the same machinery to focus on heart disease as well: force video taped gym sessions and cardio exercises? require wearable monitors? prohibit admittance to public transport without a gym validation stamp or a doctor note?
Those sound aggressive, sorry! That was not the intent; but just from a purely objective approach I do not see why the answer to those should be an automatic "no" if we accept COVID policies as automatic "yes". My 2c.