As The Wall Street Journal reported last week, Italy appears to be drastically, and intentionally, underreporting deaths due to COVID-19. As with France, deaths in nursing homes are largely being ignored, as are deaths that happen at home, and even deaths that happen in the hospital may be left off the tab because no one is taking the time to test someone if they died before being confirmed as a novel coronavirus patient. The Journal indicated that the undercount in Italy was in the thousands of deaths. And it warned that “Italy’s hidden death toll shows what could lie in store for the worst-hit areas of the U.S.”

That one week in the past prophecy is now being confirmed by Gothamist, which reported a staggering 10-fold increase in the number of New Yorkers dying in their own homes since New York City became America’s viral hot spot. Where on an ordinary day 20 to 25 residents might be expected to die in their own homes, that number is now in excess of 200.

Many of those dying at home are dying for the same reason that another 600 New Yorkers died on Monday: COVID-19. They were either unable to reach a hospital, or overtaken by the disease so rapidly that, like in many reported cases, they progressed from flu-like symptoms to acute respiratory distress within hours. But there is another reason that bodies are being removed from New York homes and apartments at an unprecedented clip.

Last week, paramedics in New York were told to stop bringing in heart attack patients who could not be revived at the scene. The results are so striking that on Monday The New York Times asked “Where have all the heart attacks gone?” The decrease in the number of heart patients was so striking that some hospitals were not at capacity despite the influx of COVID-19 patients. Those people with heart attacks, strokes, and other critical events aren’t going to hospitals. They’re not going anywhere.

The same thing has happened in Spain, Italy, France, China … everywhere that nations have become heavily engaged in combating the rapidly spreading COVID-19 infection. It’s not only those infected with the novel coronavirus who suffer. It’s thousands—tens of thousands—of others. And it’s not only that these people wouldn’t have died at home. It’s that they would not have died. Heart attack counts in hospitals have crashed. Heart attack deaths have spiked.

Just as much as those who died intubated in an ICU, those who died from a potentially treatable heart attack, stroke, or accident are also victims of this pandemic. However, they are unlikely to ever appear in the numbers when the ravages of COVID-19 are finally tallied. Even so, thousands of those who have died at home, and are still dying at home, appear to be direct victims of COVID-19. Those numbers should definitely be added—though the 45% positive rate of testing in New York at the moment makes it painfully clear that the test capacity isn’t even there to handle those who are making it to hospitals.