Wani (wanda ke buƙatar a sakaya sunansa) ya sami damar samun takaddun mutuwa daga Minnesota don duk mutuwar da ta faru daga 2015 zuwa yanzu, wanda ya ba da damar don ganin ko CDC tana da gaskiya gaba ɗaya game da bayanan mutuwar Amurka. Ba abin mamaki ba, CDC ba.
Kamar yadda za mu rubuta, CDC tana ɓoye nassoshi game da rigakafin cutar covid akan takaddun shaida na mutuwa na Minnesota (waɗanda ba kasafai ake farawa da su ba saboda yaɗuwar cibiyar likita ta ƙaryata illolin rigakafin cutar). A kusan kowace takardar shaidar mutuwa da ke bayyana rigakafin cutar covid a matsayin sanadin mutuwa, CDC ta aikata zamba ta hanyar ba da lambar ICD 10 don illolin rigakafin ga abubuwan da ke haifar da mutuwa da aka jera akan takardar shaidar mutuwa.
Tarihi
Lokacin da wani ya mutu, akwai takardar shaidar mutuwa da aka cika don dalilai na hukuma/na shari'a. Takaddun shaida na mutuwa sun ƙunshi bayanai da yawa (wasu jihohin sun haɗa da fiye da wasu), gami da abubuwan da ke haifar da mutuwa (CoD).
Abubuwan da ke haifar da mutuwa suna nufin yanayin kiwon lafiya wanda a ƙarshe ya taka rawa wajen mutuwar marigayin. Don cancanta azaman CoD, yanayin yana buƙatar kawai don ba da gudummawa ga raguwar likita ta wata hanya, amma ba dole ba ne ya ɗauki alhakin kai tsaye ga duk abin da ya kashe mutumin. Idan wani yana da hawan jini, kuma daga baya ya sami bugun zuciya wanda ya kai ga kama zuciya wanda ya kashe su, duk sharuɗɗan uku sun cancanci matsayin CoD. A daya bangaren kuma, wannan dan uwa mara tausayin farcen yatsa ba ya haifar da mutuwa, domin ko kadan bai taimaka wajen halaka su ba.
Wannan ya fito ne daga jagorar CDC da ke bayanin yadda ake cika CoD daidai akan takardar shaidar mutuwa (ba kwa buƙatar fahimtar bambanci tsakanin Dalilin A, B, da sauransu don wannan labarin):
Muhimmin abu don tunawa shine mutumin da ya cika takardar shaidar mutuwa ya rubuta bayanin rubutu na CoD's, amma baya sanya lambobin ICD 10 na CoD's.
Wannan shine aikin CDC.
ICD 10 Tsarin Coding don CoD's
Akwai kyakyawan tsarin coding wanda ake amfani da shi don rarraba dubban yanayin kiwon lafiya da yawa waɗanda zasu iya taka rawa wajen mutuwa da aka sani da Kayan Kayan Ƙasa na Duniya. Kowace ƴan shekaru, ana sabunta/ bita don ci gaba da samun sabbin ci gaba na likita (ko na ofis), yayin da aka gano sabbin yanayi kuma ana sake tsara tsofaffin yanayi ko kuma sake keɓancewa.
Ƙididdigar ICD na yanzu da aka yi amfani da ita don mutuwar da muke kallo shine ICD 10 (wato sigar ta 10 kenan). Ainihin tsarin rarrabuwa ne na matsayi:
Akwai lambobi don kusan kowane abu mai ban mamaki da za ku iya tunanin:
Waɗannan su ne nau'ikan da kansu - lambar zata iya tafiya kamar haruffa 7:
source
Lambobin ICD 10 don Tasirin Alurar rigakafin Covid
Akwai lambobin ICD 10 guda biyu don illolin maganin alurar rigakafi waɗanda za a iya amfani da su gabaɗaya don rigakafin cutar - T88.1 da Y59.0:
T88.1 - Sauran rikice-rikicen da ke biyo bayan rigakafi, ba a ware wasu wurare ba.
Y59.0 - Magungunan rigakafi
(Akwai wasu lambobin ICD 10 don matsaloli daban-daban na musamman ko sakamako masu illa na alurar riga kafi, amma batun ya kasance cewa lambar ICD 10 don tasirin maganin rigakafi ya wanzu.)
CDC - Cibiyoyin boye bayanai
CDC tana karɓar takaddun mutuwa daga jihohi daban-daban kuma tana amfani da lambobin ICD 10. Ana yin wannan da farko tare da algorithm na sirri, tare da ɗan ƙaramin kaso na shari'o'in da ma'aikatan CDC suka yanke hukunci lokacin da algorithm ya kasa sanya lambar ICD cikin ƙarfin gwiwa ga bayanin rubutun da aka rubuta akan ainihin takardar shaidar mutuwa (kamar rubutun ruɗani ko bayanin rubutu wanda baya da ma'ana sosai). Na tabbatar da hakan tare da wani masanin ilimin halittu wanda ke aiki da DoH a cikin wata jihar Amurka (na bar wanne saboda ina so in adana matsayina na grata). Mutumin da ya sami takardar shaidar mutuwa ta MN shima ya tabbatar da jami'an jihar cewa CDC ta sanya lambobin ICD a cikin bayanan su.
Yaya takardar shaidar mutuwa da ke gano maganin cutar covid a matsayin CoD * yakamata* yayi kama
Akwai takaddun mutuwa guda uku a cikin MN wanda ya ƙunshi ko dai T88.1 ko Y59.0. Ɗayan don maganin mura ne, kuma - abin mamaki - sauran biyun na maganin rigakafi ne.
Lura - lokacin amfani da ƙasa:
UCoD (Dalilin Mutuwa) yana nufin "cuta ko rauni wanda ya fara jigilar abubuwan da ke haifar da mutuwa kai tsaye, ko yanayin haɗari ko tashin hankali wanda ya haifar da mummunan rauni."
MCoD (Dalibai da yawa na Mutuwa) yana nufin “musabbabin mutuwa nan take da duk sauran tsaka-tsaki da yanayin gudummawa da aka jera akan takardar shaidar mutuwa.” (komai kuma)
Takaddun shaidar mutuwa ta farko ta ƙunshi allurar rigakafin cutar covid ICD (a ƙasa), kuma yana kama da CDC ta makale kuma ba za ta iya guje wa sanya ta ba tare da sake rubuta takardar shaidar mutuwa ba, saboda cutarwar rigakafin an jera shi a matsayin UCoD (wannan takardar shaidar mutuwar tana cewa ciwon zuciya ya kashe mutumin a cikin mintuna kaɗan na allura):
Takaddun shaida na mutuwa na biyu CDC ta tsara don sanya ICD maganin alurar riga kafi (kuma ba ɗaya kaɗai ba amma * BOTH * lambobin ICD na rigakafi (!!)) yana jin kamar wataƙila ma'aikacin CDC ɗan damfara yana aiki a wannan ranar kuma ya ɓoye shi:
A kowane hali, kamar yadda muke iya gani a sarari, duka T88.1 da Y59.0 sun dace da gaske don lokacin da aka jera maganin rigakafi azaman CoD. Don haka CDC ba za ta iya da'awar cewa babu wata hukuma ta ICD 10 lambar da za a iya amfani da ita don tsara rigakafin covid (ko wani uzuri).
YAUDARA:
Tare da waccan gabatarwar, a ƙasa akwai takaddun shaida na mutuwa guda 7 daga Minnesota waɗanda ke gano rigakafin cutar covid a matsayin sanadin mutuwa inda CDC ta tsallake lambar ICD 10 daidai da ke gano tasirin maganin alurar rigakafi lokacin da CDC ta sanya lambobin ICD zuwa takaddun shaida na mutuwa.
Cikakkiyar takardar shaidar mutuwa ta farko da zamba tana ba da mahimman daki-daki da ke nuna ba wai zamba kawai ba amma tsiraici biyu don sanya CoD's.
Wannan takardar shaidar mutuwa ta bayyana duka maganin rigakafin cutar covid da kuma covid kanta azaman gudummawar CoD's (a cikin jere na ƙarshe da aka haskaka da rawaya, rigakafin da aka ja layi a cikin kore, covid cikin shuɗi):
- "Alurar riga kafi na covid awanni 10 kafin mutuwa"
- "Tarihi na kamuwa da cuta a cikin Mayu 2020" (kusan watanni 7-8 kafin mutuwa)
Duk wani mutum mai nisa zai ɗauka cewa idan yanayin da ya faru watanni 7 kafin ba tare da wata madaidaicin hanyar haɗi zuwa ainihin mutuwa ba har yanzu ya cika ƙa'idar gano shi azaman CoD, to tabbas wani yanayi ko abin da ya faru sa'o'i GOMA kacal kafin mutuwa. likitan ne ya gano yana cika takardar mutuwar cancantar haɗawa azaman CoD.
Duk da haka, CDC ta sanya U70.1 - "COVID-19, kwayar cutar da aka gano" - don covid, amma an yi watsi da sanya T88.1 ko Y59.0 don rigakafin cutar.
Batu na biyu don haskakawa shine muna ganin cewa duk wani abu da aka ambata a matsayin CoD, ko da a cikin mahallin "tarihin" wanda aka daɗe da warwarewa, shine halalcin CoD har sai an sanya lambar ICD 10 da bayanan annoba.
Wannan marigayiyar ta samu bugun zuciya wanda daga karshe yayi mata rasuwa *RANAR DAYA* bayan anyi mata alluran rigakafi.
(Ga bayanan, ban dame ni da "ko da yake ba a fayyace ga wata hanya ta yadda maganin zai iya haifar da kama zuciya ba" layin. Wannan mutuwar ta faru ne a ranar 24 ga Fabrairu, 2021 - da kyau kafin a sami wani nau'i na wayar da kan jama'a game da hanyoyin da za a iya amfani da su ta hanyar abin da maganin zai iya haifar da lalacewar zuciya.
Takaddar Mutuwar Zamba #3
Wannan takardar shaidar mutuwa ba wai kawai ta gano maganin cutar ta covid ba, ta yi bayanin cewa marigayin ya “ji ciwo bayan allurar” kuma ya mutu bayan kwana 4 sakamakon bugun zuciya. Duk da haka, babu T88.1 ko Y59.0.
Wannan takardar shaidar mutuwar ta ba da cewa marigayiyar ta sami kashi na biyu na Pfizer kwanaki 18 kafin mutuwarta.
Anan muna da wani namiji dan shekara 65 wanda ciwon zuciya ya kashe kwanaki 12 bayan an yi masa allurar.
Wannan lamarin yana da mahimmanci musamman. Wani da ke da hannu a cikin wannan mutuwar ya sanar da ni cewa dole ne dangi su matsa wa mai binciken ya sanya sabon mai kara kuzari a kan takardar shaidar mutuwa. Wani dan uwa kuma ya shigar da rahoton VAERS da kansu, bayan da likitocin majinyacin suka ki yin hakan.
Bugu da ƙari, CDC ta yi amfani da W34 azaman UCoD. Menene W34 don?
'fitowar haɗari da rashin aiki daga wasu bindigogi da bindigogi da ba a bayyana ba.'
Ba a ambaci wasu ɓarna a cikin takardar shaidar mutuwa ba.
Dole ne mutum yayi mamakin yadda irin wannan kuskuren code ya kasance, musamman akan takardar shaidar mutuwa wanda ke dauke da sauran ICD 10 shenanigans. Yana da wuya cewa 'Y590' ko 'T881' za a 'ɓatar da su' ko kuma a haɗe su da 'W34'.'
Wataƙila idan ba a sami wasu lokuta na yaudarar watsi da lambobin rigakafi na ICD akan wasu takaddun shaida na mutuwa ba, kuma CDC ba ta cikin al'adar sanya U07.1 akai-akai don kamuwa da cutar covid da ta warware shekara guda da ta gabata, gazawar haɗa T88.1 ko Y59.0 anan za a iya uzuri.
Aƙalla, wannan takardar shaidar mutuwa ya kamata ta ƙunshi T88.0 - 'Cutar da ke biyo bayan rigakafi' - don rubuta nasarar kamuwa da cuta (wanda shine batun wani labarin daban saboda wannan yana da kama da yaduwa).
Ƙarin Dubawa
Tebu mai zuwa yana nuna ranar mutuwa da shekaru don duk takaddun mutuwa guda 9 da aka nuna a sama waɗanda suka gano maganin cutar covid a matsayin CoD:
Yana da ban mamaki cewa 7/9 ya mutu kafin Mayu 2021. Wannan baƙon abu ba ne - idan wani abu, mutuwar ya kamata ta girgiza daga baya, ba a baya ba. An hana al'amuran rigakafin rigakafi - tare da mafi girman son zuciya sannan wasu - na tsawon watanni da yawa kafin babban aikin likitanci a ƙarshe (cikin takaici) ya fara fahimtar cewa allurar rigakafin cutar na iya haifar da cututtukan cututtuka masu haɗari (a cikin lokuta da ba kasafai ba don tabbatarwa).
Tarin takaddun shaidar mutuwa da ke ambaton allurar rigakafin cutar covid a farkon fitowar na nuna cewa tsangwama na 'mulki'a na iya taka rawa wajen hana masu ba da labari magana game da rigakafin cutar covid akan takaddun shaida na mutuwa.
Wani abin lura a nan shi ne shekarun wadanda suka mutu: kowane daya babban dan kasa ne, kuma matsakaicin shekarun wadanda suka mutu ya kai 80. Wannan yana da mahimmanci a haskaka saboda yayin da matasa "suna mutuwa ba zato ba tsammani" sun fito fili, an sami raguwar hankali ko kuma yarda da mummunar cutar rigakafin cutar ta covid a kan tsofaffi da masu rauni, inda ke faruwa a cikin wadanda ke mutuwa - har ma da wadanda ke fama da rashin lafiya. dangana ga kafin yanayin kiwon lafiya.
A ƙarshe, ayyukan CDC suna haifar da tambaya ko CDC gabaɗaya ta cancanta ko amintacciya ta isa ta zama mai kula da bayanan cutar ta ƙasa. CDC tana sarrafa yawancin bayanan da ke ba da cikakken fagagen karatu. Idan CDC tana son canza bayanai ta hanyar yaudara (ko ma idan CDC ba ta da ƙarfi don guje wa ɓarnatar bayanai), duk bayanan da ke ƙarƙashin ikon CDC na iya yiwuwa, musamman idan ya shafi batun siyasa ko zamantakewa mai rikitarwa. Abubuwan da ke tattare da wannan suna da damuwa, a takaice.
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Haruna Hertzberg marubuci ne kan dukkan bangarorin martanin cutar. Kuna iya samun ƙarin rubutunsa a Substack: Resisting the Intellectual Illiteratti.
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