The effort by Gov. Andrew M. Cuomo’s office to obscure the pandemic death toll in New York nursing homes was far greater than previously known, with aides repeatedly overruling state health officials over a span of at least five months, according to interviews and newly unearthed documents.

Mr. Cuomo’s most senior aides engaged in a sustained effort to prevent the state’s own health officials, including the commissioner, Howard Zucker, from releasing the true death toll to the public or sharing it with state lawmakers, these interviews and documents showed.

An audit of the numbers by a top Cuomo aide was finished months before it became publicly known.

The actions coincided with the period in which Mr. Cuomo was pitching and then writing a book on the pandemic, with the assistance of his top aide, Melissa DeRosa, and others.

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