State of California—Health and Human Services Agency
California Department of Public Health MARK B HORTON, MD, MSPH Director
ARNOLD SCHWARZENEGGER Governor
October 14, 2009
09-14
TO:
LOCAL HEALTH OFFICERS LOCAL REGISTRARS OF BIRTHS AND DEATHS CHIEF DEPUTY REGISTRARS OF BIRTHS AND DEATHS
SUBJECT:
REPORTING NOVEL H1N1 INFLUENZA AS A CAUSE OF DEATH ON DEATH CERTIFICATES
As part of the Public Health response to novel H1N1 influenza, it is important that epidemiologists at the California Department of Public Health (CDPH) and local health departments be able to identify novel H1N1-associated fatalities from death certificates in real time. To achieve this, CDPH recommends that physicians certifying deaths resulting from known, presumed, or suspected novel H1N1 influenza include the following cause of death information on the death certificate in fields 107A, 107B, 107C, or 107D: •
In cases with a laboratory test confirming that the deceased had novel H1N1 influenza, one of the causes of death should be entered as: “H1N1 Influenza.”
•
In cases where the deceased was presumed or suspected to have had H1N1 influenza but there is no confirmatory laboratory test (or a test is still pending), one of the causes of death should be entered as: “Presumed H1N1 Influenza.”
Physicians should continue to enter other cause of death information on the death certificate as per usual procedures. Please forward this letter to funeral homes and physicians in your jurisdiction that handle death certificates. Thank you for your assistance and support as CDPH endeavors to track and respond to this emerging pandemic. If you have any questions regarding this matter, please contact: Scott Fujimoto, MD, MPH Assistant Chief, Office of Health Information and Research
[email protected] (916) 324-6376
Center for Health Statistics – Office of Vital Records MS 5103 - P.O. Box 997410, Sacramento, CA 95899-7410 (916) 445-2684 Internet Address: www.cdph.ca.gov
REPORTING NOVEL H1N1 INFLUENZA AS A CAUSE OF DEATH ON DEATH CERTIFICATES Page 2 October 14, 2009
Ms. Laura Lund, MA Science Advisor, Center for Health Statistics
[email protected] (916) 552-8113 Sincerely, Original signed by: Linette T Scott, MD, MPH Deputy Director Health Information and Strategic Planning