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Good morning doctors welcome to admin podcast on CHS clinics medical certification of death is a very uncomfortable situation for doctors to make this difficult topically simpler we have with this senior CMO and in charge of one of the busiest Wellness Center in Pune dr. bonita Koscheck dr. Cheikh was to retire this year but thanks to our government her expertise will be available for under five years so welcome back dr. Kashi hello friends let me begin this session by first thanking dr. HUD gain and expressing my appreciation for the great initiative taken by him medical certification of death consists of two parts one is the death certification and the other is the cause of death registration of births and deaths acts 1969 provides the legal backing for this certification it requires that the death be reported to the local authorities within a period of 72 hours and any medical practitioner who refuses to or neglects to issue the certificate would be punishable with fine up to fifty rupees now we come to the actual certificate let us follow this a patient is examined by a doctor and he is declared he or she is declared dead which is relatively simple now the next step is divided into two sections one is the manner of death on the left-hand side if it is a natural manner of death and the patient has been examined by the doctor in the last 14 days and the cause of death is known the medical certification of death may be issued the other section deals with unnatural deaths if the doctor has not examined the patient in the last 14 days and the cause of death is not known we need to inform the police and a medical legal autopsy will be done and only then can the certificate of death and cause of death be issued how do we define death death is the complete and irreversible stoppage of circulation respiration and brain function the causes of death are many and it is defined as the disease or injury responsible for starting the sequence of events which are brief or prolonged and which produced death now we come to the classification of the cause of death it could be either the immediate cause or the antecedent cause and other contributory causes we can also talk about the manner of death the mechanism of death aperiod is defined as the time between a lethal occurrence and death now let us look at the causes of death the first thing as we look on the certificate is it says the immediate cause immediate cause means the disease injury or complication which caused the death not the mode of dying such as heart failure or asthenia and here we fill up part a of the certificate Part B is the antecedent cause which is any morbid condition which gives rise to the immediate cause and here we write the disease which.