She developed a respiratory tract infection with fever, shortness of breath, and cough, but her family did not want further testing on her and she died a few days later. Gill provided an example of potential issues:Ī 70-ish female nursing home resident with prior health conditions. The COVID-19 pandemic has highlighted shortcomings that may compromise an accurate count of COVID-19 deaths.” Dr. Gill emphasized that, “Public health mortality data are only as good as the quality of the death certificates, but proper death certification has been a long-standing challenge in the US. Gill, Chief Medical Examiner of Connecticut and a professor at the Yale School of Medicine, wrote an “Opinion” piece, " The Importance of Proper Death Certification During the COVID-19 Pandemic". In the Jissue of the Journal of the American Medical Association (JAMA), Dr. Identifying the underlying issue was critical. Anderson immediately started checking and rechecking the process of recording the first US COVID-19 deaths. The person who certified it had meant June 2020, not January 2020. Investigates 4 Early Cases," the chief of mortality statistics at NCHS/CDC, Robert Anderson, was informed in late 2020 that, according to a death certificate, someone had died of COVID-19 in January 2020. In a SeptemNew York Times article, "When Was the First U.S.
The location and timing of the virus’ spread affected restrictions, policies, and efforts to contain it. When COVID-19 was first identified in the US in January 2020, death certificates became much more important. They estimate 20-30% of death certificates “have issues with completeness,” (filled out, but not with all requested information) and that nearly 35% of all death records in 2018 had an unsuitable UCOD (underlying cause of death) listed. Death certificates should be complete and accurate if they are not both, the quality of data for the NCHS statistics suffers. In Understanding Death Data Quality: Cause of Death from Death Certificates, the NCHS notes that “getting it right matters,” but also that obtaining “high quality” data can be challenging. It is a challenge to obtain high quality data in the normal course. This database is also based on information from death certificates, relying on county-level national mortality and population data from death certificates for U.S. The CDC’s online database, “ CDC WONDER” (Wide-ranging Online Data for Epidemiologic Research), provides access to a variety of health information to public health professionals and the general public. Death certificates are one of the primary data sources collected by NCHS for their reports. The NCHS compiles statistical information to help guide public health and health policy decisions, and provides data to identify and address health issues, indicators and trends. The National Center for Health Statistics (NCHS) is the principal health statistics agency in the US, and is under the umbrella of the Centers for Disease Control and Prevention (CDC). US mortality data is rooted in death certificates.
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