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ICMR Guideline Prohibits States From Reporting Covid Deaths Due To Shortage Of Oxygen: Doctors바카라 Body

Guidance for the appropriate recording of COVID-19 related deaths in India categorically mentions that Asphyxia, Respiratory arrest/Failure, and Respiratory Failure among others cannot be mentioned as a cause of death

ICMR Guideline Prohibits States From Reporting Covid Deaths Due To Shortage Of Oxygen: Doctors바카라 Body
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The Minister of State for Health, Dr. Bharti Pawar바카라s statement in Rajya Sabha on July 20, 2021, is in the eye of the storm. Dr. Pawar said that no death due to lack of oxygen has been specifically reported by states/UTs.

This is completely contradictory to the truth as during the second wave of Covid, hospitals faced an acute shortage of medical oxygen and thousands of patients died as they didn바카라t get it.

However, so far as non-reporting of deaths due to lack of oxygen by the state government to the Centre is concerned, it is due to the guidelines issued by the India Council of Medical Research (ICMR), which is at the helm of the affair since the pandemic began.

바카라The Indian Council of Medical Research (ICMR) - National Centre for Disease Informatics and Research (NCDIR) document ""  at page 6 categorically mentions that Asphyxia, Respiratory arrest/Failure, and Respiratory Failure among others cannot be mentioned as a cause of death,바카라 Organised Medicine Academic Guild (OMAG), a federation of 15 professional associations of post-graduate doctors in India, covering 250,000 consultants, highlighted in a press release.

It added, 바카라Similar instructions, ad-verbatim from the ICMR document, are at page 42 in a 936-page "Compendium of Guidelines, Instruction and Standard Operative Procedures for Covid-19바카라 published the Maharashtra Govt. in its 4th Edition, on 25 June 2020.바카라   

Dr. Ishwar Gilada, Secretary-General, OMAG, says that the Minister isn바카라t completely incorrect in saying 바카라no deaths have been specifically reported by states/UTs due to lack of oxygen.바카라

바카라Following the national guidelines and state SOPs, no doctor will or can mention 바카라Hypoxia바카라 or 바카라Respiratory Arrest바카라 or 바카라Respiratory Failure바카라 as the cause of death. As doctors, we have been always told to avoid mentioning Mode of Dying as Cause of Death,바카라 Dr. Gilada said.

The press release says that the mode of dying merely tells you that death has occurred and is not specifically related to the disease process.

바카라Doctors have to record the underlying cause of death in the Medical Certification of Cause of Death (MCCD) Form 4 (institutional deaths)/ 4A (non-institutional deaths); which is submitted to the Office of Registrar General, India (ORGI),바카라 it said.

It added, 바카라The ORGI records and collates data but cannot change it. In any case, cause of death is never given as the patient died of 바카라fever due to lack of paracetamol바카라 or 바카라respiratory failure due to lack of steroid바카라 and similarly 바카라patient died due to lack of oxygen!바카라

Dr. Gilada further says that the International Classification of Diseases (ICD) doesn't have a code for lack of Oxygen or Hypoxia.

바카라In such case autopsy or post-mortem can help when the cause of death cannot be ascertained. However, in Covid-19 hardly any autopsies are done due to the fear instilled at since the pandemic began, once again due to ICMR guidelines on how dead bodies of Covid-19 patients should be disposed of,바카라 he added. 

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