key: cord-1009898-umrlfdhi
authors: Kilani, Ahmad
title: An interpretation of reported COVID-19 cases in post-Soviet states
date: 2021-04-07
journal: J Public Health (Oxf)
DOI: 10.1093/pubmed/fdab091
sha: 015fcd59cfa350c7acc42c2567ff2a9bee20c8d2
doc_id: 1009898
cord_uid: umrlfdhi

nan

Coronavirus disease 2019 (COVID-19) became the main concern in numerous fields in the globe. 1 Benford's law (BL) is mathematical theorem used as a detection technique to reveal accounting fraud, 2 election fraud, 3 in manipulated health data 4 and even social media bots. 5 Several studies have already applied BL to detect misreported data of COVID-19. 6 Recently, the governmental statistics agency in Russia (ROSSTAT) announced that the reported death cases in the country are much higher than the o cial figures. Previous studies confirmed that Russia has indeed manipulated figures based on BL. 7 Succinctly, this law dictates that there is a certain frequency of first digit distribution that occur in the natural system where digit 1 occurs more often than the subsequent digits (i.e. 2-9). Many good-to-fit tests can be applied to check if the observed distribution deviate from the theoretical distribution frequency.

This study focuses on the former Soviet states to determine if there is also misreported data. We apply BL using three good-to-fit tests (chi-square > 17.54, Kuiper > 1.75 for α = 0.05 and MAD > 0.015-marginally acceptable conformity) on the daily reported cases, daily reported death, cumulative cases and cumulative death in 14 former Soviet state (we excluded Turkmenistan because they do not release any information).

In results, we found two interesting outcomes. First, all the countries showed misreported data in the daily death counts. Second, former Soviet states which transitioned into full democracy (Lithuania, Estonia and Latvia) showed no data manipulation in the reported cases; whereas the most undemocratic regimes (i.e. Belarus, Tajikistan and Russia) showed the highest deviation from BL. Regarding the first outcome, there has been numerous media reports indicating that patients with chronical diseases who dies from COVID-19 are not registered under COVID-19 deaths. This practice was mainly noted in Belarus and Russia. We assume that it's also a practice conducted in the other former Soviet states because of the centralization of healthcare in the past. As for the second outcome, we anticipate that when a country establishes free press and have an accountable government, there will be more transparency in the release of accurate information related to COVID-19 8 . Figure 1 illustrates the di erence in the distribution between democratic and undemocratic state. 

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