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Certain infectious and parasitic diseases

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Definitions<br />

Note: These definitions have been adopted by the World Health Assembly (resolutions<br />

WHA20.19 <strong>and</strong> WHA43.24) under Article 23 of the Constitution of the World Health<br />

Organization.<br />

1. Causes of death<br />

The causes of death to be entered on the medical certificate of cause of death are all those<br />

<strong>diseases</strong>, morbid conditions or injuries which either resulted in or contributed to death <strong>and</strong><br />

the circumstances of the accident or violence which produced any such injuries.<br />

2. Underlying cause of death<br />

The underlying cause of death is (a) the disease or injury which initiated the train of events<br />

leading directly to death, or (b) the circumstances of the accident or violence which<br />

produced the fatal injury.<br />

3. Definitions in relation to fetal, perinatal, neonatal <strong>and</strong> infant mortality<br />

3.1 Live birth<br />

Live birth is the complete expulsion or extraction from its mother of a product of<br />

conception, irrespective of the duration of the pregnancy, which, after such separation,<br />

breathes or shows any other evidence of life, such as beating of the heart, pulsation of the<br />

umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical<br />

cord has been cut or the placenta is attached; each product of such a birth is considered<br />

liveborn.<br />

3.2 Fetal death [deadborn fetus]<br />

Fetal death is death prior to the complete expulsion or extraction from its mother of a<br />

product of conception, irrespective of the duration of pregnancy; the death is indicated by<br />

the fact that after such separation the fetus does not breathe or show any other evidence of<br />

life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of<br />

voluntary muscles.<br />

3.3 Birth weight<br />

The first weight of the fetus or newborn obtained after birth.<br />

3.4 Low birth weight<br />

Less than 2500 g (up to, <strong>and</strong> including 2499 g).<br />

3.5 Very low birth weight<br />

Less than 1500 g (up to, <strong>and</strong> including 1499 g).<br />

3.6 Extremely low birth weight<br />

Less than 1000 g (up to, <strong>and</strong> including 999 g).<br />

878 WHO’s ICD-10

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