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originally posted by: carewemust
a reply to: Stupidsecrets
So you're saying Covid-19 was the proverbial "straw that broke the camel's back". It's just strange to see the U.S. Centers for Disease Control seeking to ramp up the U.S. death toll. But I don't know a thing about the leadership at that agency.
originally posted by: Phage
So what?
originally posted by: Stupidsecrets
originally posted by: carewemust
a reply to: Stupidsecrets
So you're saying Covid-19 was the proverbial "straw that broke the camel's back". It's just strange to see the U.S. Centers for Disease Control seeking to ramp up the U.S. death toll. But I don't know a thing about the leadership at that agency.
One of my previous bosses was in the leadership at the CDC. What he told me was there are a bunch of people at the CDC making fat bank and did next to nothing. He tried to change the culture but eventually gave up. It's a worthless organization. People making well over 6 digits doing remedial tasks. They got infuriated when he started asking questions and evaluating their jobs. Just look at this situation. All the real promise in solving it is not coming from the CDC. Go figure.
originally posted by: SeektoUnderstand
a reply to: carewemust
This # needs to go viral now!
originally posted by: carewemust
Wednesday, April 1, 2020
The U.S. Centers For Disease Control (CDC) issued a directive to Hospitals and Coroners on March 24, 2020. If a person has Covid-19 when they die, their Cause Of Death (COD) is to be listed as Covid-19.
COVID-19 should be reported on the death certificate for all decedents where the disease caused, or is
assumed to have caused, or contributed to death.
Source Document: www.cdc.gov...
From the CDC "Covid-19 Alerts" section at: www.cdc.gov...
Example: If Jim has a car accident and dies, and the post-mortem testing indicates that he has CoronaVirus-19, his cause of death is to be listed as "Covid-19".
Am I interpreting this CDC directive correctly?
-CareWeMust
originally posted by: Phage
Bull#. It may be noted that the patient tested positive but the cause of death would be trauma.
Example: If Jim has a car accident and dies, and the post-mortem testing indicates that he has CoronaVirus-19, his cause of death is to be listed as "Covid-19".
The coding is specific to coronavirus infections. It is a new code for a new disease.
Will COVID-19 be the underlying cause?
The underlying cause depends upon what and where conditions are reported on the death certificate. However, the rules for coding and selection of the underlying cause of death are expected to result in COVID-19 being the underlying cause more often than not.
What happens if certifiers report terms other than the suggested terms?
If a death certificate reports coronavirus without identifying a specific strain or explicitly specifying that it is not COVID-19, NCHS will ask the states to follow up to verify whether or not the coronavirus was COVID-19. As long as the phrase used indicates the 2019 coronavirus strain, NCHS expects to assign the new code. However, it is preferable and more straightforward for certifiers to use the standard terminology (COVID-19).
What happens if the terms reported on the death certificate indicate uncertainty?
If the death certificate reports terms such as “probable COVID-19” or “likely COVID-19,” these terms would be assigned the new ICD code. It Is not likely that NCHS will follow up on these cases. If “pending COVID-19 testing” is reported on the death certificate, this would be considered a pending record. In this scenario, NCHS would expect to receive an updated record, since the code will likely result in R99. In this case, NCHS will ask the states to follow up to verify if test results confirmed that the decedent had COVID-19.
This section on the death certificate is for reporting the sequence of conditions that led directly to death. The immediate cause of death, which is the disease or condition that directly preceded death and is not necessarily the underlying cause of death (UCOD), should be reported on line a. The conditions that led to the immediate cause of death should be reported in a logical sequence in terms of time and etiology below it. The UCOD, which is “(a) the disease or injury which initiated the train of morbid events leading directly to death or (b) the circumstances of the accident or violence which produced the fatal injury” (7), should be reported on the lowest line used in Part I.
Approximate interval: Onset to death For each condition reported in Part I, the time interval between the presumed onset of the condition, not the diagnosis, and death should be reported. It is acceptable to approximate the intervals or use general terms, such as hours, days, weeks, or years.
Part II Other significant conditions that contributed to the death, but are not a part of the sequence in Part I, should be reported in Part II. Not all conditions present at the time of death have to be reported—only those conditions that actually contributed to death.
Example: If Jim has a car accident and dies, and the post-mortem testing indicates that he has CoronaVirus-19, his cause of death is to be listed as "Covid-19".
Am I interpreting this CDC directive correctly?
originally posted by: Bigburgh
a reply to: carewemust
You got it..
originally posted by: Phage
a reply to: Snarl
My point (edited) was that an increase in deaths is an increase in deaths. If someone who had a underlying condition dies because coronavirus exacerbated it, so what? Perhaps coronavirus didn't kill them, but they died because of coronavirus.
The rest of what you're talking about, I have no idea.