The number of coronavirus-related deaths in New York City rose to over 10,000 on Tuesday after officials said nearly 4,000 people who never tested positive were believed to have died of COVID-19.
The city's health department announced that 3,778 people were likely to have died from the disease, in addition to the 6,589 confirmed deaths.
In the new numbers released at 4:00 p.m. (2000 GMT), the total number of deaths in the Big Apple, which quickly became the epicenter of the American corona virus, rose to 10,367.
"While this data reflects the tragic impact of the virus on our city, it will also help us determine the extent and scale of the epidemic and help us make our decisions," said City Health Commissioner Oxiris Barbot.
The likely deaths define someone "who did not know of a positive laboratory test, but who does have a death certificate that lists" CAVID-19 or an equivalent value "as the cause of death," according to the department's guidelines.
New York State has borne the brunt of the rapidly expanding American pandemic, which causes nearly half of the United States crisis-related deaths.
Last week, Mayor Bill de Blasio admitted that the city's official death toll may have underestimated the true extent of the fatal outbreak.
He explained that many people who had died at home were not counted as having died from COVID-19, although this was probably the cause.
It is believed that the additional deaths have also occurred in nursing homes and other long-term care facilities.
The "likely" numbers indicate a lack of widespread testing for the virus.
Before the city updated its toll on the likely COVID 19 deaths, the state of New York had reported nearly 11,000 deaths.
Hospitalizations and infections are on the decline, however, and Governor Andrew Cuomo has declared that the "worst is over".
According to a Johns Hopkins University running list, more than 25,400 people have died in the United States.