I think it's a mixture of both. Underreporting of deaths and relatively strict lockdowns in known outbreak areas (basically municipial governments can call for

I think it's a mixture of both. Underreporting of deaths and relatively strict lockdowns in known outbreak areas (basically municipial governments can call for that in Germany - so think the S...-County in Washington going on total lockdown by some local politicians authority). Looking at the Italian data this thing really seems to ravage through the elderly and although it's very sad that they now won't get ICU and co. my personal, subjective opinion (samplesize n=3) is that in this age-group hospitalisation for non-chronic, dire stuff basically just is a death-sentence anyway. People go through rehab, home-care to the hospital again where they succumb to some resisant bacteria in coma... It's sad they'll now die fast from pneumonia but ultimately that's life and judging from the n=3 samples, I'd much prefer a relatively fast, morphine-assisted death by suffocating (not sure how bad it feels with morphine) at this age to the comatose, 15-meds a day mushing up your brain-situation, which is typical. Disclaimer: I'm aware, Italy is not doing palliative care anymore (which is really bad!) and also that this is not just a flu and also younger people die, but hopefully the rates here are closer to the real flu (which, talking from family experience again...) can kill a 20-something as well.