Verbal Autopsy Improving Cause of Death Reporting Alvin T. Onaka, Ph.D Hawaii State Department of...
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![Page 1: Verbal Autopsy Improving Cause of Death Reporting Alvin T. Onaka, Ph.D Hawaii State Department of Health June 2, 2013.](https://reader035.fdocuments.net/reader035/viewer/2022062304/56649dde5503460f94ad6a7c/html5/thumbnails/1.jpg)
Verbal Autopsy
Improving Cause of Death Reporting
Alvin T. Onaka, Ph.D Hawaii State Department of Health
June 2, 2013
![Page 2: Verbal Autopsy Improving Cause of Death Reporting Alvin T. Onaka, Ph.D Hawaii State Department of Health June 2, 2013.](https://reader035.fdocuments.net/reader035/viewer/2022062304/56649dde5503460f94ad6a7c/html5/thumbnails/2.jpg)
What is Verbal Autopsy?
• 2 Step Procedure
• Data Collection
• Cause of Death Assignment
![Page 3: Verbal Autopsy Improving Cause of Death Reporting Alvin T. Onaka, Ph.D Hawaii State Department of Health June 2, 2013.](https://reader035.fdocuments.net/reader035/viewer/2022062304/56649dde5503460f94ad6a7c/html5/thumbnails/3.jpg)
Data Collection
• Trained Interviewer• Questionnaire• Signs & Symptoms• Demographic Characteristics• Informant familiar with the Deceased
![Page 4: Verbal Autopsy Improving Cause of Death Reporting Alvin T. Onaka, Ph.D Hawaii State Department of Health June 2, 2013.](https://reader035.fdocuments.net/reader035/viewer/2022062304/56649dde5503460f94ad6a7c/html5/thumbnails/4.jpg)
Cause of Death Assignment
• Physician Review of Verbal Autopsy Data
• ICD Certification
• Coding & Tabulation
• Computerized Algorithms
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Global Congress on Verbal Autopsy
• State of the Science
• Bali, Indonesia
• February 2011
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Population Health Metrics Publication Series
• Verbal Autopsy: Innovation, Application, Opportunities – Improving Cause of Death Measurement
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Verbal Autopsy: Advancing Science, Facilitating Application
• Christopher J.L. Murray, U of Washington• Alan D. Lopez, U of Queensland• Kenji Shibuya, U of Tokyo• Rafael Lozano, U of Washington
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New Automated Methods • Iris
• A more accurate, faster and cheaper method than traditional physician review
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Issues
• Standard Survey Questionnaire• Free Text Narrative• Structured Questions• Recording Household Medical Docs
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Issues
• Interviewer• Education• Training
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Issues
• Choice of Respondent• Proximity to Deceased• Education• Age• Sex• Cultural Factors
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Issues
• Cause of Death Assignment & ICD Coding Physician/Trained Health Professional Review Using Standard Protocols Computerized Programs ICD Mortality Tabulation Lists
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Issues
• Recall by relatives of symptoms/illness prior to death is sometimes difficult because of similar symptoms• Identification of clearly distinguishable
symptom complexes for each cause of interest are not available for some adult causes
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Historically Useful & Validated
• Infant & Child Deaths• Maternal Deaths• Deaths due to Injuries
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Verbal Autopsy Projects
• U.S. Affiliated Pacific Islands• Malawi• Kenya
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Mahalo (Thank You)