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Many people who died with a COVID diagnosis were already in a fragile state, where even a minor infection could be fatal. However, it is questionable whether these infections should be considered the cause of death. For example, if we started registering every urinary tract infection that pushed a frail person over the edge, we would have an epidemic of urinary tract infections. The same kind of illogical attribution happened with COVID, where 3,000 expected deaths in hospices were attributed to the virus. This raises the question of what a death certificate should actually indicate: the specific cause of death on a particular day, or the overall cause of death within a certain timeframe.