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THE PROBLEMS OF STATISTICAL REGISTRATION OF MORTALITY BECAUSE OF EXTERNAL CAUSES IN RUSSIA


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Abstract

In Russia, the level of mortality of class of external causes in general and of particular cause within this class two-fold exceeds similar levels of these indices in the developed countries. The actual publications analyzing medical death certificates emphasize underestimation of levels of mortality because of such external causes as murders, suicides, alcohol intoxications, etc. and their transfer to latent form. In this connection, the topic of external causes was chosen to be a purpose of interviewing leading specialists in the field of demography, statistics and medicine. On the basis of analysis of opinions of experts, the issues of quantitative and qualitative statistical registrations of mortality because of external causes were considered. According opinion of experts, the external causes' statistic is to be published in concordance with the ICD-10. On the basis of the short list of ICD-10 the total scale of losses because of mortality of class of external causes and their kinds are clearly demonstrated. However, an in-depth analysis of mortality the detailed elaboration of the short list of ICD-10 is inadequate. The experts also considered both the causes of increasing of such a set of external causes as injuries with uncertain intentions and the means of decreasing level of mortality because of these causes including the main ones - changes of requirements to fill and procedure to issue death certificates. The experts considered too the legislative consolidation of regulation that inquest is to be initiated on the basis of application, report of offense but not the procedural standard concerning institution of prosecution and cardinal amelioration of the system of forensic expertise.


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