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Fear of hospitals is causing too many Mexicans to delay virus treatment

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...Mexico is battling one of the worst coronavirus outbreaks in the world, with more than 52,000 confirmed deaths, the third-highest toll of the pandemic. And its struggle has been made even harder by a pervasive phenomenon: a deeply rooted fear of hospitals.

The problem has long plagued nations overwhelmed by unfamiliar diseases. During the Ebola epidemic in 2014, many in Sierra Leone believed that hospitals had become hopeless death traps, leading sick people to stay home and inadvertently spread the disease to their families and neighbors.

Here in Mexico, a similar vicious cycle is taking place. As the pandemic crushes an already weak health care system, with bodies piling up in refrigerated trucks, many Mexicans see the Covid ward as a place where only death awaits — to be avoided at all cost.

The consequences, doctors, nurses and health ministers say, are severe. Mexicans are waiting to seek medical care until their cases are so bad that doctors can do little to help them. Thousands are dying before ever seeing the inside of a hospital, government data show, succumbing to the virus in taxis on the way there or in sickbeds at home.

Fighting infections at home may not only spread the disease more widely, epidemiologists say, but it also hides the true toll of the epidemic because an untold number of people die without ever being tested — and officially counted — as coronavirus victims...

Many Mexicans say they have good reason to be wary of hospitals: Nearly 40 percent of people hospitalized with confirmed cases of the virus in Mexico City, the epicenter of the nation’s outbreak, end up dying, government data show, a high mortality rate even when compared with some of the worst coronavirus hot spots worldwide. During the peak of the pandemic in New York City, less than 25 percent of coronavirus patients died in hospitals, studies have estimated.

While the statistic may be imprecise because of limited testing, doctors and researchers confirmed that a startling number of people are dying in Mexico’s hospitals.

During a surge of cases in May, almost half of all Covid-19 deaths in Mexico City hospitals occurred within 12 hours of the patient’s being admitted, said Dr. Oliva López Arellano, Mexico City’s health minister....

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