Young People Have Less Covid-19 Risk, but in College Towns, Deaths Rose Fast

  ...  As coronavirus deaths soar across the country, deaths in communities that are home to colleges have risen faster than the rest of the nation, a New York Times analysis of 203 counties where students compose at least 10 percent of the population has found.

In late August and early September, as college students returned to campus and some institutions put into place rigorous testing programs, the number of reported infections surged. Yet because serious illness and death are rare among young coronavirus patients, it was unclear at the time whether the growth of infections on campus would translate into a major health crisis.

But since the end of August, deaths from the coronavirus have doubled in counties with a large college population, compared with a 58 percent increase in the rest of the nation. Few of the victims were college students, but rather older people and others living and working in the community.

Health officials and family members of some people who died in such counties described large surges of cases involving students followed by subsequent infections and deaths in the wider community.

“When the rate of transmission in the surrounding community is high and increasing,” said Jennifer Nuzzo, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health, “you are going to see more deaths.” ...

The link between an outbreak at a college and a coronavirus death in the wider community is often indirect and difficult to document, according to public health experts, especially without extensive contact tracing, which many local health departments in the United States lack resources to pursue. Deaths have soared in recent weeks, making it difficult to distinguish between outbreaks tied to campuses and health emergencies linked to other causes.

Yet in September and October, when deaths were well below earlier peaks and fairly steady, they were already rising in many college communities. That trend highlighted a central fear of health officials — that young adults with limited symptoms may unwittingly transmit the virus, increasing the possibility it would ultimately spread to someone more vulnerable. ...