Co-morbidities Notwithstanding
Death of all Covid-19 patients attributed to virus

New Delhi, June 20 (IANS): The Centre has told the Supreme Court that all deaths with a diagnosis of Covid-19, irrespective of co-morbidities, are to be classified as deaths due to Covid-19.
The MHA in its affidavit said: “All deaths with a diagnosis of Covid-19, irrespective of co-morbidities, are to be classified as deaths due to Covid-19. The only exception could be where there is a clear alternative cause of death, that cannot be attributed to Covid-19 (e.g. accidental trauma, poisoning, acute myocardial infarction, etc), where Covid-19 is an incidental finding.”
The MHA submitted for the recording of Covid-19 deaths, that there is a statutory mechanism in place either by way of an Act of Parliament or guidelines having the force of mandate and the law. Any breach of the guidelines mentioned hereunder would be a criminal offence as stipulated under section 188 of the IPC. The affidavit said broad guidelines for recording Covid-19 related deaths in India were prepared by the Indian Council of Medical Research (ICMR). “The guidelines clearly state positive deaths, implicate deaths related to Covid-19. Further, these guidelines are in sync with the WHO Mortality Coding,” said the affidavit.
The affidavit said the ministry of health had released guidelines on the distinction between ‘death audit’ and ‘death certification’. The Centre said the primary goal of certification of cause of death (death certificate) is to identify and correctly classify all deaths due to a medical condition (e.g., Covid-19) and to eliminate any discrepancy in coding so as to obtain true estimates of the burden of Covid-19 deaths. On the other hand, ‘death audit’ is an administrative exercise to identify gaps that contribute to the deaths of patients.
The aim is to improve the quality of healthcare services by suitable corrective measures to prevent/minimize future deaths. “It is however submitted that, States/UTs may continue using their State specific death audit proforma, provided it broadly captures the parameters as the indicative proforma”, added the affidavit.
The MHA said in May 2021, the Office of the Registrar General of India (ORGI) has also issued guidelines regarding registration of deaths and recording of the cause of death, wherein it was advised that the death of the person should be registered within the stipulated time within 21 days.
On May 24, the top court had suggested there must be a uniform policy and also some guidelines for issuance of death certificates for those affected with Covid-19. A bench comprising Justices Ashok Bhushan and M.R. Shah had said many a time reasons given in a death certificate can be heart attack or lung failure, but these could be triggered by Covid-19. The bench asked Centre’s counsel, “So, how are death certificates being issued?”
The Centre filed an affidavit in response to the petitions filed by advocates Reepak Kansal and Gaurav Kumar Bansal citing Section 12 (iii) of the Disaster Management Act (DMA) providing for ex gratia monetary compensation for the families of those who died during a notified disaster.