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MCCD

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13 views3 pages

MCCD

Uploaded by

Left Right Synkers
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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1.

Introduction
●​ Mortality statistics are crucial for tracking health trends and formulating public health
policies.
●​ The Medical Certification of Cause of Death (MCCD) system is implemented under the
Civil Registration System (CRS) in India.
●​ Data from death certificates help assess public health programs and provide feedback
for health planning and medical research.

Legal Provisions:

●​ The Registration of Births and Deaths (RBD) Act, 1969 mandates physicians to certify
the cause of death for individuals they attended during their last illness.
●​ Section 10(2) allows state governments to require a death certificate in prescribed areas.
●​ Section 10(3) mandates medical practitioners to issue a cause-of-death certificate free of
charge.
●​ Section 17(1)(b) ensures confidentiality—cause-of-death details are not disclosed in
publicly available death certificates.

2. Specific Instructions for Certifying Cause of Death


This section provides guidance on correctly filling out the Medical Certificate of Cause of
Death (MCCD).

Components of the Death Certificate:

●​ Name of deceased: Full name, with father’s/husband’s name.


●​ Age: Specify in years, months, days, or hours.
●​ Cause of Death:
○​ Immediate cause (Part I, Line A): The final disease or condition leading directly
to death.
○​ Antecedent cause (Part I, Line B and C): The condition(s) leading to the
immediate cause.
○​ Underlying cause (Last line in Part I): The disease or injury that initiated the
sequence of events resulting in death.
○​ Other contributing conditions (Part II): Unrelated but significant health
conditions that influenced death.

Guidelines for Proper Certification:


1.​ Use clear and specific medical terminology (avoid vague terms like "old age,"
"shock," or "cardiac arrest" unless an underlying cause is mentioned).
2.​ Do not use abbreviations.
3.​ Record all contributing conditions.
4.​ If death is due to an external cause (accident, suicide, homicide), include details.
5.​ For maternal deaths (ages 15-49), mention pregnancy status.

3. Examples of Correct Certification


The manual provides real-world examples illustrating simple and complex scenarios.

Simple Examples

1.​ Death due to peptic ulcer:


○​ Incorrect: "Ulcer"
○​ Correct:
■​ (a) Peritonitis
■​ (b) Perforated duodenal ulcer
2.​ Death due to drowning:
○​ (a) Asphyxia
○​ (b) Drowning
3.​ Death due to diabetes complications:
○​ Incorrect: "Diabetes"
○​ Correct:
■​ (a) Diabetic nephropathy
■​ (b) Type 2 Diabetes Mellitus

Complex Example: Car Accident Leading to Death

●​ Scenario: A man suffers a head injury in a car crash and dies from brain hemorrhage.
●​ Correct Certification:
○​ (a) Brain hemorrhage
○​ (b) Skull fracture
○​ (c) Road traffic accident

4. Annexures
Annexure I: Common Errors in Death Certification
●​ Avoid general terms like:
○​ "Heart failure" → Specify underlying condition (e.g., "Acute Myocardial
Infarction").
○​ "Cancer" → Specify type and location (e.g., "Metastatic lung carcinoma").
○​ "Old age" → Not a valid cause unless associated with a specific disease.

Annexure II: Standard Forms

●​ Form 4 (for hospital deaths).


●​ Form 4A (for non-institutional deaths).
●​ Both include WHO’s recommended format, which follows ICD-10 standards.

Annexure III & IV: ICD-10 Classification

●​ Lists International Classification of Diseases (ICD-10) codes used in death


certification.
●​ Diseases are categorized into 20 major groups (e.g., infectious diseases, neoplasms,
cardiovascular diseases).

Key Takeaways
1.​ Ensure correct sequence of events leading to death.
2.​ Use precise medical terms to avoid ambiguity.
3.​ Report contributing conditions separately.
4.​ Follow WHO’s ICD-10 classification for standardization.
5.​ Avoid mode of dying as the primary cause (e.g., "Cardiac arrest" is not a standalone
cause—mention the disease that caused it).

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