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North Carolina health secretary Mandy Cohen (top left) speaks during a press conference on Aug. 5, 2020. North Carolina health secretary Mandy Cohen (top left) speaks during a press conference on Aug. 5, 2020.

North Carolina health secretary Mandy Cohen (top left) speaks during a press conference on Aug. 5, 2020.

Paul Specht
By Paul Specht December 3, 2020

In NC, COVID-19 deaths surpass 10 years of flu deaths

If Your Time is short

  • North Carolina Health Secretary Mandy Cohen said "more than 5,000 North Carolinians" have died from the novel coronavirus, while "under 1,500 people died from the flu in the past 10 years."
  • State records and a CDC spokesman back up her claim.

Like many states, North Carolina is tracking a record number of COVID-19 cases this holiday season.

And in an attempt to explain the severity of the illness, the state’s top health official compared coronavirus deaths to data on the flu.

"Sadly more than 5,000 North Carolinians have lost their lives from this virus since our first death on March 12 of this year," Health Secretary Mandy Cohen said during a Dec. 1 press conference.

"To give some perspective, just under 1,500 people died from the flu in the past 10 years," Cohen said. "In just 11 months, Covid has killed more than three times that number."

Is it true that the coronavirus has killed more North Carolinians in a year than the flu has in 10 years?

According to the state’s data, yes.

NC Covid-19 deaths

North Carolina’s Department of Health and Human Services tracks both COVID-19 and influenza deaths.

As of Wednesday morning, the state had counted 5,284 COVID-19 deaths. DHHS says those deaths include people who have had a positive molecular or antigen test for COVID-19, who died without fully recovering from COVID-19, and who had no alternative cause of death identified. 

The deaths are reported by hospitals and clinicians directly to the local and state health departments.

The first reported COVID-19 death did, indeed, occur on March 12. 

NC flu deaths

The state’s health department also tracks flu deaths and reports each flu season’s data on its website. Flu deaths are reported by health providers and were confirmed as influenza by an appropriate laboratory or rapid diagnostic test.

PolitiFact reviewed the last 10 flu seasons, dating back to the 2010-2011 season. In total, we counted 1,486 reported flu deaths. DHHS spokeswoman Kelly Haight confirmed to us by phone that our total is accurate.

Here’s a list of the flu death counts by season, and a link to the report for each respective season:

2019-2020: 186

2018-2019: 203

2017-2018: 391

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2016-2017: 218

2015-2016: 59

2014-2015: 218

2013-2014: 107

2012-2013: 59

2011-2012: 9

2010-2011: 36

Other flu counts

The U.S. Centers for Disease Control and Prevention also tracks flu deaths by state. At a glance, it might seem like the CDC and North Carolina reports contradict one other. For instance, the CDC reported North Carolina had 2,064 flu deaths in 2018, while the state’s health department reported far less.

That’s because the CDC sometimes combines flu and pneumonia deaths together, officials said.

Under the "flu & pneumonia" section on the CDC’s flu deaths by state website, "most of those deaths are pneumonia deaths," said Jeff Lancashire, acting associate director for communications for the CDC’s National Center for Health Statistics.

Some pneumonia deaths are caused by the flu, but some can be caused by "many other viruses, bacteria, bacteria-like organisms and fungi," said Kelly Haight, DHHS spokeswoman.

The year 2018 is the most recent year of flu deaths available on the CDC site. 

If you start in 2018 and look back 10 years to 1999, Lancashire said "there were 1,806 deaths from exclusively flu alone – without pneumonia (from the public database CDC WONDER – wonder.cdc.gov)."  

"So if Dr. Cohen was citing deaths from flu alone, she would be correct that COVID19 deaths have exceeded that (number) in NC," he said.  

The CDC has noted, however, that tallying death counts for COVID-19, flu and pneumonia is complicated and sometimes its data can be incomplete.

Our ruling

Cohen said COVID-19 has killed more North Carolinians in a year than the flu has in the last 10 years.

By the North Carolina health department’s count, there have been 5,200 COVID-19 deaths this year and 1,486 flu deaths over the last decade.

Cohen’s claim also tracks with data collected by the CDC, according to an agency spokesman. However, the CDC points out that exact numbers can be tricky to count because there are sometimes delays in processing death information.

We rate her statement True.

Our Sources

Video on WRAL, "Cooper, Cohen outline NC coronavirus vaccine distribution plan," posted Dec. 1, 2020.

Email correspondence with Kelly Haight, spokeswoman for the North Carolina Department of Health and Human Services.

Email correspondence with Jeff Lancashire, spokesman for the U.S. Centers for Disease Control and Prevention. 

COVID-19 case information available on the North Carolina Department of Health and Human Services website.

Seasonal flu reports uploaded to the  North Carolina Department of Health and Human Services website.

Flu data tracked by the CDC’s National Center for Health Statistics.

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In NC, COVID-19 deaths surpass 10 years of flu deaths

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