are the figures from italy and spain including deaths outside of hospitals? If not i would hate to see what it looks like with those included
Italy are recording deaths with underlying causes as Covid 19 deaths. A lot more people ended up in hospital in Italy.
Spain are recoding much the same.
I think each country is recording figures differently.
Most deaths that occur at home won't be included if they are not referred for an autopsy, if you have an underlying condition then it will be likely the death is attributed to that than CV19.
Until very recently there was not a 'universal code' for recording a death from CV19 so that is a lot of home deaths missed too.